Individual
AMBER A CLOYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 510-1186
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
684863
TX
363LA2100X
Acute Care Nurse Practitioner
2006004689
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
684863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282688501
—
TX
01
—
846N05
BCBS BILLING NUMBER
TX
Enumeration date
07/23/2006
Last updated
10/10/2014
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