Feuerborn, Tyler

Feuerborn, Tyler is an individual health care provider with primary practice located at 1515 S Buckner Blvd Ste 141 , Dallas TX 75217-1794. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Feuerborn, Tyler can be contacted via phone (214) 974-9126.

Contact Information

Primary practice address
1515 S Buckner Blvd Ste 141 Dallas TX 75217-1794
Phone: (214) 974-9126
Fax: (469) 574-0383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9407120 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9407120 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1061932 Texas

Profile Details

NPI number 1366941650
LBN Legal business name Feuerborn, Tyler
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2018
Last updated Jan 2nd, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366941650 NPPES
Florida MEDICAID 105715700

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