Individual
MR. JOHNNIE RAY TYLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3100 SCHOFIELD RD, FORT SAM HOUSTON, TX 78234-7577
(210) 808-2226
Mailing address
3946 BULVERDE PKWY, SAN ANTONIO, TX 78259-2257
(210) 313-0422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2057090
TX
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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