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General NPI Number Information
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NPI Number | 1659180958
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Entity Type | Organization
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Legal Business Name | TYLER MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 10601 GRANT RD STE 116
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City | HOUSTON
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State | TX
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Zip | 77070-4449
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Country | US
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Telephone | 281-318-6655
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Fax | 281-318-6655
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Provider Business Mailing Address
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Address Line | 10601 GRANT RD STE 116
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City | HOUSTON
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State | TX
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Zip | 77070-4449
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Country | US
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Telephone | 281-318-6655
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Fax | 281-318-6655
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. EMMANUEL BUABENG
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Credential |
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Telephone | 281-780-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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