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NPI Code Detail

MEDICARE: DR. ELIZABETH CHRISTINE TYLER-KABARA MD PHD

MEDICARE: DR. ELIZABETH CHRISTINE TYLER-KABARA MD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMD068855LPA
2174400000XSpecialistS5284TX
3174400000XSpecialist78728AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093781676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH CHRISTINE TYLER-KABARA MD PHD
Provider Business Mailing Address
First Line : 102 LAUREL VALLEY RD
Second Line :
City : WEST LAKE HILLS
State : TX
Zip : 78746-4406
Country : US
Telephone Number : 412-613-2072
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 10/16/2025

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