Jefferson, Tyler Cameron

Jefferson, Tyler Cameron is an individual health care provider with primary practice located at 2535 W Oak St , Denton TX 76201-2331. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jefferson, Tyler Cameron can be contacted via phone (940) 382-1577.

Contact Information

Primary practice address
2535 W Oak St Denton TX 76201-2331
Phone: (940) 382-1577
Fax: (940) 387-5471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA06754 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06754 Texas

Profile Details

NPI number 1740245968
LBN Legal business name Jefferson, Tyler Cameron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 23rd, 2013 - about 11 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740245968 NPPES
Texas Other 825N93 BCBS TEXAS
Texas Other 835N03 BCBS TEXAS
Texas Other P00954312 BCBS TEXAS
Texas Other 1740245968 BCBS TEXAS
Texas Other TXB120919 BCBS TEXAS

Popular Providers