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Individual

TYLER TEWILLIAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1001 SCHOOL ST, HOUMA, LA 70360-4691
(985) 868-1540
Mailing address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 873-2968

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
282269
KY
213E00000X
Podiatrist
Primary
MD346187
LA
213E00000X
Podiatrist
POD.0000876
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
282269
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
POD.0000876
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2018
Last updated
12/03/2025
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