| Neurology Associates Of Tyler, P.a. | |
|
312 E 5th St Tyler TX 75701-4225 | |
| (903) 595-6789 | |
| (903) 595-6973 |
| Full Name | Neurology Associates Of Tyler, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 312 E 5th St, Tyler, Texas |
| Authorized Official Name and Position | Richard Darnell Tyer (PRESIDENT) |
| Authorized Official Contact | 9035956789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Tyler, P.a. 312 E 5th St Tyler TX 75701-4225 Ph: (903) 595-6789 | Neurology Associates Of Tyler, P.a. 312 E 5th St Tyler TX 75701-4225 Ph: (903) 595-6789 |
| NPI Number | 1407117922 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Medicare PECOS PAC ID | 7517121999 |
|---|---|
| Medicare Enrollment ID | O20120614000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407117922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | J6783 (Texas) | Primary |
| Provider Name | Richard D Tyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043238546 PECOS PAC ID: 0143484527 Enrollment ID: I20120614000798 |
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