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Individual

MR. TYLER FEUERBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-C

Contact information

Practice address
1538 N LEWIS AVE, TULSA, OK 74110-2535
(918) 400-7001
(539) 202-5070
Mailing address
1515 S BUCKNER BLVD STE 141, DALLAS, TX 75217-1794
(214) 974-9126
(469) 574-0383

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1061932
TX
363LA2200X
Adult Health Nurse Practitioner
ARNP9407120
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
228312
OK
363LP2300X
Primary Care Nurse Practitioner
APRN9407120
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105715700
FL
Enumeration date
02/02/2018
Last updated
05/13/2026
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