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Individual

SUSAN CAROL TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
400 HARBORSIDE DR, GALVESTON, TX 77555-0001
(409) 772-2222
(409) 772-0885
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
245127
TX

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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