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Individual

MR. SHYAM A VYAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3516 NE STALLINGS DR, NACOGDOCHES, TX 75965
(936) 560-0818
(936) 560-5610
Mailing address
3516 NE STALLINGS DR, NACOGDOCHES, TX 75965
(936) 560-0818
(936) 560-5610

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L4790
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158515001
TX
Enumeration date
01/25/2007
Last updated
09/30/2013
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