St Paul Children's Medical Corporation
Pediatrics
St Paul Children's Medical Corporation is a Tyler, Texas based Pediatric center with medical specialization in
General Pediatrics. St Paul Children's Medical Corporation is doing business as
St Paul Children's Clinic.
It is located at
1350 E Richards St, Tyler, Texas - 75702-6153. They can be contacted on phone at
903-531-9455 and fax number 903-526-3118.
NPI number (Unique professional ID) for St Paul Children's Medical Corporation is
1336376391 which was assigned by NPPES on 17 Jun, 2009 and it was last updated on 08 Mar, 2011.
St Paul Children's Medical Corporation is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
St Paul Children's Medical Corporation basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | St Paul Children's Medical Corporation |
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| Other Name : | St Paul Children's Clinic |
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Business Address:
St Paul Children's Medical Corporation address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1350 E Richards St
Tyler, TX, 75702-6153
United States |
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| Phone Number : | 903-531-9455 |
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| Fax Number : | 903-526-3118 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336376391 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 17 Jun, 2009 |
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| Last Updated On : | 08 Mar, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | David Young |
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| Official Title or Position : | CEO |
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| Phone Number : | 903-531-9455 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Paul Children's Medical Corporation are as mentioned. Primary taxonomy code for St Paul Children's Medical Corporation is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of St Paul Children's Medical Corporation such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 203740003 | Other | TX | MEDICAID CSCHN |
| 203740001 | MEDICAID | TX | |
| 203740002 | Other | TX | MEDICAID TH STEPS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1350 E Richards St
Tyler, TX, 75702-6153
United States |
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| Phone Number : | 903-531-9455 |
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| Fax Number : | 903-526-3118 |
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Business Location:
Patients can refer following map for directions to
St Paul Children's Medical Corporation practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.