Individual
NANCY PUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-1913
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
A50958
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H8340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A50958A
—
CA
01
—
TIN PLUS 042
TRICARE
TX
Enumeration date
11/01/2006
Last updated
10/13/2014
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