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Individual

BARRY SHEFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
Mailing address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M5925
TX
208M00000X
Hospitalist Physician
Primary
M5925
TX

Other

Enumeration date
05/16/2007
Last updated
04/15/2008
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