Provider Demographics
NPI:1437706736
Name:TYLER, BILLY'CLAY N
Entity Type:Individual
Prefix:
First Name:BILLY'CLAY
Middle Name:N
Last Name:TYLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14423 ALROVER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-6511
Mailing Address - Country:US
Mailing Address - Phone:832-983-7164
Mailing Address - Fax:
Practice Address - Street 1:14423 ALROVER ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6511
Practice Address - Country:US
Practice Address - Phone:832-983-7164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider