Organization
DALLAS VAMC
Active
Other names
TYLER VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
428 CENTENNIAL PKWY, TYLER, TX 75703-7166
(615) 355-3451
Mailing address
PO BOX 94493, CLEVELAND, OH 44101-4493
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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