Individual
DR. DAVID L TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 S COULTER ST, SUITE 100, AMARILLO, TX 79106-1758
(806) 359-4701
(806) 353-0091
Mailing address
1215 S COULTER ST, SUITE 100, AMARILLO, TX 79106-1758
(806) 359-4701
(806) 353-0091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5988720
AETNA
TX
01
—
8B2610
BCBS
TX
Enumeration date
05/30/2006
Last updated
07/08/2007
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