Individual
DR. JANICE MICHELLE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(861) 766-7434
(817) 878-5698
Mailing address
14275 MIDWAY RD, STE 400, ADDISON, TX 75001-3676
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R1314
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2015
Last updated
09/26/2017
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