Organization
TYLER NEPHROLOGY ASSOCIATES, P.A.
Active
Other names
The Centers For Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MILLER (ADMINISTRATOR)
(903) 595-5486
Entity
Organization
Contact information
Practice address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094961203
—
TX
05
—
200214850 A
—
OK
Enumeration date
12/08/2006
Last updated
09/26/2018
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