Individual
DR. TYLER MOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, DEPARTMENT OF SURGERY, LUBBOCK, TX 79430-3700
(806) 743-2373
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2373
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
T4007
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2015
Last updated
08/16/2022
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