Individual
TYLER CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S, NREMT-P
Contact information
Practice address
11601 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2660
(505) 814-1995
(505) 702-8171
Mailing address
11601 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2660
(505) 814-1995
(505) 702-8171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0037
NM
Other
Enumeration date
08/04/2022
Last updated
05/21/2025
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