Individual
MR. TYRAN LANCE MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.
Contact information
Practice address
3019 WILLOW OAK LN, SEALY, TX 77474-9270
(979) 877-0081
Mailing address
3019 WILLOW OAK LN, SEALY, TX 77474-9270
(979) 877-0081
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
08 TX 1362
TX
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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