Individual
ANTHONY HANDOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(908) 877-7777
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(908) 877-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S2792
TX
Other
Enumeration date
04/18/2017
Last updated
06/08/2023
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