Individual
DR. STEVEN SHELBY TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 ROUND ROCK AVE, ROUND ROCK, TX 78681
(512) 341-1000
(512) 671-8548
Mailing address
PO BOX 10202, AUSTIN, TX 78766-1202
(817) 284-9850
(817) 284-3425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G8999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101263-02
—
TX
01
—
74-2423759
TAX ID
—
Enumeration date
08/03/2005
Last updated
07/31/2018
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