Individual
MICHELLE PHI MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 OLYMPIC PLAZA CIR, STE 602, TYLER, TX 75701-1951
(903) 593-2468
(905) 592-5692
Mailing address
700 OLYMPIC PLAZA CIR, STE 602, TYLER, TX 75701-1951
(903) 593-2468
(905) 592-5692
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
Q6234
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447517016
NPI
TX
Enumeration date
04/19/2012
Last updated
07/11/2016
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