Provider Demographics
NPI:1407117922
Name:NEUROLOGY ASSOCIATES OF TYLER, P.A.
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES OF TYLER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DARNELL
Authorized Official - Last Name:TYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-595-6789
Mailing Address - Street 1:312 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-4225
Mailing Address - Country:US
Mailing Address - Phone:903-595-6789
Mailing Address - Fax:903-595-6973
Practice Address - Street 1:312 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-4225
Practice Address - Country:US
Practice Address - Phone:903-595-6789
Practice Address - Fax:903-595-6973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ67832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty