Provider Demographics
NPI:1518011642
Name:HOYLE, KENDRA TAY (MD)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:TAY
Last Name:HOYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2808 S MAIN ST STE T
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-7855
Mailing Address - Country:US
Mailing Address - Phone:903-877-7200
Mailing Address - Fax:903-877-7778
Practice Address - Street 1:409 W FERGUSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-5632
Practice Address - Country:US
Practice Address - Phone:903-596-8353
Practice Address - Fax:903-596-9471
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL0337207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine