Individual
MOISES A SIDRANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 75701-1951
(903) 596-3504
Mailing address
3970 LOUISE CT, TYLER, TX 75709-5440
(214) 604-3149
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
Q8352
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2011
Last updated
09/23/2016
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