Unknown Individual – Diagnostic Radiology Physician, NPI 1164495974
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Tyler Post Office, Mc Arthur Street, Tyler, Lincoln County, Minnesota, United States
TYLER, TX 757125500
Phone: (903) 324-6400
Type: Mailing
520, East Douglas Boulevard, Tyler, Smith County, Texas, 75702, United States
TYLER, TX 75702
Phone: (903) 510-1175
Fax: (903) 510-8806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75712)
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