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NPI Code Detail

MEDICARE: TYLER MICHAEL OCKWIG DO

MEDICARE: TYLER MICHAEL OCKWIG DO
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
1207Q00000XFamily Medicine PhysicianT2704TX
2390200000XStudent in an Organized Health Care Education/Training ProgramBP10068869TX

General Provider Information

NPI Number : 1033779004
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER MICHAEL OCKWIG DO
Provider Business Mailing Address
First Line : 1906 W US HIGHWAY 82
Second Line :
City : SHERMAN
State : TX
Zip : 75092-6893
Country : US
Telephone Number : 903-892-8398
Fax Number : 903-892-6665
Provider Business Practice Location Address
First Line : 1906 W US HIGHWAY 82
Second Line :
City : SHERMAN
State : TX
Zip : 75092-6893
Country : US
Telephone Number : 903-892-8398
Fax Number : 903-892-6665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 05/22/2026

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Directions to “ TYLER MICHAEL OCKWIG DO” Practice Location

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