Provider Demographics
NPI:1477307809
Name:TYLERMED WALK IN CLINIC PLLC
Entity Type:Organization
Organization Name:TYLERMED WALK IN CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:RAMIREZ ATAMOROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-699-6184
Mailing Address - Street 1:1501 EASY ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-9136
Mailing Address - Country:US
Mailing Address - Phone:505-699-6184
Mailing Address - Fax:540-328-2582
Practice Address - Street 1:1501 EASY ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9136
Practice Address - Country:US
Practice Address - Phone:505-699-6184
Practice Address - Fax:540-328-2582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty