Individual
DR. NEELAN S DOOLABH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 S FLEISHEL AVE, STE 5000, TYLER, TX 75701-2015
(903) 606-7525
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K1185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160211201
—
TX
05
—
160211202
—
TX
01
—
752616977039
TRICARE NORTHPARK LOCATION
TX
01
—
752616977107
TRICARE E LAKE STREET LOCATION
TX
01
—
752616977110
TRICARE MAPS LOCATION
TX
01
—
8AM683
BCBS
TX
01
—
8J5071
BCBS PROVIDER
TX
01
—
K1185
MEDICAL LICENSE
TX
Enumeration date
07/27/2006
Last updated
10/13/2014
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