Individual
TYLER SCOTT JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7519
Mailing address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P2878
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
P2878
TX
390200000X
Student in an Organized Health Care Education/Training Program
145594
NC
Other
Enumeration date
06/23/2008
Last updated
06/28/2023
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