Organization
SIGAL HEART CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE HUDSON (ADMINISTRATOR)
(903) 592-6355
Entity
Organization
Contact information
Practice address
820 S BAXTER AVE, TYLER, TX 75701-2225
(903) 592-6355
(903) 592-7680
Mailing address
820 S BAXTER AVE, TYLER, TX 75701-2225
(903) 592-6355
(903) 592-7680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007HW
BCBS
TX
05
—
149765301
—
TX
01
—
DC6520
MEDICARE RR
TX
Enumeration date
05/31/2005
Last updated
08/24/2015
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