Organization
GASTROENTEROLOGY ASSOCIATES OF TYLER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D BOYD MD (PARTNER)
(903) 592-4460
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR, 407, TYLER, TX 75701-1951
(903) 592-4460
(903) 592-7246
Mailing address
700 OLYMPIC PLAZA CIR, 407, TYLER, TX 75701-1951
(903) 592-4460
(903) 592-7246
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009JF
BLUE CROSS GRP ID
TX
Enumeration date
03/01/2007
Last updated
10/19/2007
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