Individual
TYLER ANTHONY BALLOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(615) 341-4000
Mailing address
6410 BURNING TREE DR, HOUSTON, TX 77036-3910
(281) 536-8683
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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