Individual
DR. SVETISLAVA JUDITH VUKELJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
910 EAST HOUSTON STREET, TYLER, TX 75702
(903) 579-9800
(903) 526-4463
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J9840
TX
207RX0202X
Medical Oncology Physician
J9840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129496902
—
TX
05
—
129496903
—
TX
01
—
129496904
CSHCN
TX
05
—
129496905
—
TX
01
—
8R1576
BLUE CROSS OF TEXAS
TX
Enumeration date
06/15/2006
Last updated
05/08/2008
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