Ingersoll, Tyler D

Ingersoll, Tyler D is an individual health care provider with primary practice located at 1976 Texan Dr Ste 106 , Justin TX 76247-6774. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ingersoll, Tyler D can be contacted via phone (682) 212-9020.

Contact Information

Primary practice address
1976 Texan Dr Ste 106 Justin TX 76247-6774
Phone: (682) 212-9020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X U8743 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X U8743 Texas

Profile Details

NPI number 1952939183
LBN Legal business name Ingersoll, Tyler D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Jun 24th, 2024 - about last year

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.

Request for update

Popular Providers