Provider Demographics
NPI:1245393156
Name:FRANCIS, TYRA TENNYSON (MD)
Entity Type:Individual
Prefix:DR
First Name:TYRA
Middle Name:TENNYSON
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TYRA
Other - Middle Name:DAREECE
Other - Last Name:TENNYSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:25615 US HIGHWAY 281 N
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7135
Mailing Address - Country:US
Mailing Address - Phone:210-292-0168
Mailing Address - Fax:
Practice Address - Street 1:25615 US HIGHWAY 281 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-292-0168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1177207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine