Organization
AUSTIN ROY TYRER, JR., M.D.
Active
Organization
AUSTIN ROY TYRER, JR., M.D.
Active
Other names
Tyrer Neurosurgery Consulting Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN ROY TYRER, JR M.D. (OWNER)
(901) 274-5581
Entity
Organization
Contact information
Practice address
220 S CLAYBROOK ST, #103, MEMPHIS, TN 38104-3527
(901) 274-5881
Mailing address
PO BOX 40835, MEMPHIS, TN 38174-0835
(901) 274-5881
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD0727
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119753
—
MS
05
—
09015553
—
MS
01
—
3141308
BCBS OF TN
TN
05
—
3141308
—
TN
Enumeration date
04/14/2008
Last updated
04/14/2008
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