Individual
DR. TYSON K. MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 E LOCUST AVE, VICTORIA, TX 77901-3933
(361) 572-4300
Mailing address
605 E LOCUST AVE, VICTORIA, TX 77901-3933
(361) 572-4300
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
M8837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209577001
—
TX
01
—
8CH237
BLUECROSS/BLUE SHIELD
TX
Enumeration date
12/28/2007
Last updated
06/24/2010
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