Individual provider · NPI-1

Darrell Eugene Reliford Alley, M.D.

Surgery · Tyler, TX

NPI number1235254384
StatusActive
Last updated in NPPESNov 16, 2007

Details

NPI
1235254384
Entity type
Individual (NPI-1)
Name
Darrell Eugene Reliford Alley
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2007
Last updated
Nov 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery23756SCYes

Practice location

904 S Beckham Ave
Attn Amber Allen
Tyler, TX 75701-1906

Phone 903-596-3588 · Fax 903-594-2038

Mailing address

186 Mckinley Scott Ln
Eastover, SC 29044-9087

Phone 803-353-2217

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