Individual
RENEE SUZANNE HEBBELER-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
(903) 535-6884
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
(903) 535-6884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-089305
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
S7886
TX
207RI0200X
Infectious Disease Physician
S7886
TX
Other
Enumeration date
07/27/2007
Last updated
08/19/2020
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