Provider Demographics
NPI:1114782745
Name:ALEXANDER ALI TYLER-HASHEMI MD PLLC
Entity Type:Organization
Organization Name:ALEXANDER ALI TYLER-HASHEMI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-651-2000
Mailing Address - Street 1:2605 COLLINS DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-9687
Mailing Address - Country:US
Mailing Address - Phone:912-247-5495
Mailing Address - Fax:
Practice Address - Street 1:125 CARL DR APT 57
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6255
Practice Address - Country:US
Practice Address - Phone:501-651-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty