Individual
SHELDON YGNACIO FREEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 S FLEISHEL AVE, SUITE 4000, TYLER, TX 75701-2015
(903) 606-7000
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.123679
IL
207R00000X
Internal Medicine Physician
57012461
OH
207RI0011X
Interventional Cardiology Physician
Primary
P6615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323308201
—
TX
01
—
75-2616977-122
TRICARE
TX
01
—
8DT911
BCBS
TX
01
—
P01304440
RAIL ROAD
TX
Enumeration date
04/24/2008
Last updated
06/02/2023
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