Individual
ANDREA LYNN TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8004 W VIRGINIA DR APT 207, DALLAS, TX 75237-4422
(972) 709-3801
Mailing address
8004 W VIRGINIA DR APT 207, DALLAS, TX 75237-4422
(972) 709-3801
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NAS569267
TX
Other
Enumeration date
06/02/2010
Last updated
08/18/2010
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