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Contact Information

NANCY LUETHY, PA-C
800 E DAWSON ST
TYLER, TX75701
 Phone: 903-606-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NANCY LUETHY · (Female)

NPI # 1336118629
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/17/2006
Last updated 09/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601004191
  • TX Medicaid 399520101
  • TX Other 8LD264 BCBS
Hospital affiliation(s)
  • MOTHER FRANCES HOSPITAL - (Acute Care)
    800 EAST DAWSON
    TYLER, TX 75701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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