Provider Demographics
NPI:1184156671
Name:YOUNGMAN, TYLER ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:ROBERT
Last Name:YOUNGMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8233
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-514-3500
Mailing Address - Fax:314-747-2598
Practice Address - Street 1:9301 N CENTRAL EXPY STE 500
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0805
Practice Address - Country:US
Practice Address - Phone:214-220-2468
Practice Address - Fax:469-232-9738
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2023-08-21
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Provider Licenses
StateLicense IDTaxonomies
MO2022012664207XS0114X
TXS5180207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery