Healthcare Provider Details

I. General information

NPI: 1992766091
Provider Name (Legal Business Name): REBECCA LAMAR CALI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA ANN LAMAR MD

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 OLYMPIC PLAZA CIR SUITE 418
TYLER TX
75701-1951
US

IV. Provider business mailing address

901 TURTLE CREEK DR
TYLER TX
75701-1947
US

V. Phone/Fax

Practice location:
  • Phone: 903-590-5120
  • Fax: 903-590-5129
Mailing address:
  • Phone: 903-596-3588
  • Fax: 903-594-2038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberD0061152
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: