Stefan P. Thiele, M.d., P.a.

NPI #1922298876 in Tyler, Texas

Provider Information

NPI Number: 1922298876
Entity Type: Organization
Organization Name: Stefan P. Thiele, M.d., P.a.
Primary Specialty: Surgery
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 1320 DOCTORS DR
City: Tyler
State: Texas
ZIP Code: 75701-2262
Phone: (903) 595-0105

Authorized Official

Name: DR. STEFAN PETER THIELE, M.D.
Title: PRESIDENT
Phone: (903) 595-0105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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