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NPI Code Detail

MEDICARE: MR. TYRAN LANCE MERCER R.P.A.

MEDICARE: MR. TYRAN LANCE MERCER R.P.A.
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
1243U00000XRadiology Practitioner Assistant08 TX 1362TX

General Provider Information

NPI Number : 1982841870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TYRAN LANCE MERCER R.P.A.
Provider Business Mailing Address
First Line : 3019 WILLOW OAK LN
Second Line :
City : SEALY
State : TX
Zip : 77474-9270
Country : US
Telephone Number : 979-877-0081
Fax Number :
Provider Business Practice Location Address
First Line : 3019 WILLOW OAK LN
Second Line :
City : SEALY
State : TX
Zip : 77474-9270
Country : US
Telephone Number : 979-877-0081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2009
Last Update Date : 01/14/2009

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Directions to “ MR. TYRAN LANCE MERCER R.P.A.” Practice Location

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