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Organization

HUGH P BABINEAU M D P A

Active
Other names
Tyler Bariatrics
Organization subpart
No

Provider details

NPI number
Authorized official
HUGH BABINEAU M.D. (PRESIDENT)
(903) 593-0230
Entity
Organization

Contact information

Practice address
1100 E LAKE ST, SUITE 230, TYLER, TX 75701-3343
(903) 593-0230
(903) 597-3015
Mailing address
1100 E LAKE ST, SUITE 230, TYLER, TX 75701-3343
(903) 593-0230
(903) 597-3015

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TX
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017MQ
BCBS GROUPP ID#
TX
05
1486250-01
TX
Enumeration date
01/25/2007
Last updated
04/28/2008
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