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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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