Individual
TYLER COOLEY SPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E 29TH ST STE 105, BRYAN, TX 77802-2507
(979) 776-0750
(979) 776-0750
Mailing address
2700 E 29TH ST STE 105, BRYAN, TX 77802-2507
(979) 776-0750
(979) 776-0750
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
DR.0060440
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
S6746
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/09/2008
Last updated
08/25/2023
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