Individual
TYLER WAUGHTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1141 N LOOP 1604 E STE 105-446, SAN ANTONIO, TX 78232-1339
(210) 598-2800
(210) 598-4236
Mailing address
1141 N LOOP 1604 E STE 105-446, SAN ANTONIO, TX 78232-1339
(210) 598-2800
(210) 598-4236
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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