Provider Demographics
NPI:1811627227
Name:ZEHR, TYLER THOMAS
Entity Type:Individual
Prefix:MR
First Name:TYLER
Middle Name:THOMAS
Last Name:ZEHR
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:PO BOX 2394
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79831-2394
Mailing Address - Country:US
Mailing Address - Phone:315-222-6805
Mailing Address - Fax:
Practice Address - Street 1:1707 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-2920
Practice Address - Country:US
Practice Address - Phone:432-837-4555
Practice Address - Fax:432-837-4556
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA17643363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant