Norman J Mccall
DIABETIC RENEWAL CENTER LLC


Address: 1015 Pruitt Pl, Tyler, TX 75703-1154
Phone: 90325860005001

Norman J Mccall (NPI# 1023154796, PAC ID# 0749447795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1023154796
PAC ID by PECOS 0749447795
Professional Enrollment ID I20120203000135
Full Name Norman J Mccall
Organization Legal Name DIABETIC RENEWAL CENTER LLC
Address 1015 Pruitt Pl
Tyler
TX 75703-1154
Phone Number 90325860005001
Gender M
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1976
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GENERAL PRACTICE
Group Practice PAC ID 7416258074
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1015 Pruitt Pl, Tyler, TX 75703-1154 90325860005001 DIABETIC RENEWAL CENTER LLC
1015 Pruitt Pl, Suite 105, Tyler, TX 75703-1154 90325860005001 DIABETIC RENEWAL CENTER LLC

Organization Information

Organization Legal Name DIABETIC RENEWAL CENTER LLC
Physicians 1

Office Location

Street Address 1015 PRUITT PL
City TYLER
State TX
Zip 75703-1154

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Competitor

Search similar physicians

City TYLER
Zip Code 75703
Specialty INTERNAL MEDICINE
City + Specialty TYLER + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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