Azalea Internal Medicine Associates PA

NPI #1366738908 in Tyler, Texas

Provider Information

NPI Number: 1366738908
Entity Type: Organization
Organization Name: Azalea Internal Medicine Associates PA
Primary Specialty: Internal Medicine
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 1100 E LAKE ST
City: Tyler
State: Texas
ZIP Code: 75701-3343
Phone: (903) 509-4100

Authorized Official

Name: NEIL H ADELMAN, MD
Title: PRESIDENT, SOLE MEMBER
Phone: (903) 509-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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