Davis, Tyler Randall

Davis, Tyler Randall is an sole proprietor health care provider with primary practice located at 4864 Jackson St , Monroe LA 71202-6400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davis, Tyler Randall can be contacted via phone (318) 330-7000.

Contact Information

Primary practice address
4864 Jackson St Monroe LA 71202-6400
Phone: (318) 330-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 329162 Louisiana

Profile Details

NPI number 1972064160
LBN Legal business name Davis, Tyler Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2019
Last updated May 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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