Jefferson, Tyler Cameron
Jefferson, Tyler Cameron is an individual health care provider with primary practice located at 2535 W Oak St , Denton TX 76201-2331. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jefferson, Tyler Cameron can be contacted via phone (940) 382-1577.Contact Information
Primary practice address
2535 W Oak St
Denton TX 76201-2331
Phone: (940) 382-1577
Fax: (940) 387-5471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA06754 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA06754 | Texas |
Profile Details
| NPI number | 1740245968 |
|---|---|
| LBN Legal business name | Jefferson, Tyler Cameron |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | May 23rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740245968 | NPPES |
| Texas | Other | 825N93 | BCBS TEXAS |
| Texas | Other | 835N03 | BCBS TEXAS |
| Texas | Other | P00954312 | BCBS TEXAS |
| Texas | Other | 1740245968 | BCBS TEXAS |
| Texas | Other | TXB120919 | BCBS TEXAS |
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