Individual
MICHAEL THOMAS BEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4111 UNIVERSITY BLVD, TYLER, TX 75701-6623
(903) 266-3400
Mailing address
4111 UNIVERSITY BLVD, TYLER, TX 75701-6623
(903) 266-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F3752
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
F3752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133402111
—
TX
Enumeration date
01/10/2007
Last updated
12/07/2020
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