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Jeffrey Gilroy MD PA

Radiology, Therapeutic Radiology in Tyler, TX. Organization (NPI-2).

NPI number1013372010
StatusActive
Last updated in NPPESDec 18, 2015

Details

NPI
1013372010
Entity type
Organization (NPI-2)
Legal business name
Jeffrey Gilroy MD PA
Organization subpart
No
Enumeration date
Dec 18, 2015
Last updated
Dec 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0203X Radiology, Therapeutic RadiologyQ0444TXYes

Practice location

721 Clinic Dr
Tyler, TX 75701-2043

Phone 903-595-5550 · Fax 903-535-6887

Mailing address

Po Box 2060
Tyler, TX 75710-2060

Phone 877-839-9517 · Fax 903-531-2337

Authorized official

Jeffrey Gilroy
Owner/Physician
9037528710

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