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Individual

DR. PAUL W DETWILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 75701-1955
(903) 595-2441
(903) 595-0743
Mailing address
700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 75701-1955
(903) 595-2441
(903) 595-0743

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L0128
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046613801
TX
Enumeration date
05/24/2005
Last updated
03/21/2025
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