Individual
DR. MICHAEL Y ASHIGBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 CLINIC DR, STE A, TYLER, TX 75701-2043
(903) 592-6152
(903) 526-0629
Mailing address
721 CLINIC DR, STE A, TYLER, TX 75701-2043
(903) 592-6152
(903) 526-0629
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J7415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027716-01
—
TX
01
—
81690X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/17/2005
Last updated
10/20/2011
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