| NPI | 1114310927 | 
|---|---|
| Doing Business As | TYLER & JACOB HEALTHCARE PROVIDERS | 
| Entity Type | Organization | 
| Authorized Contact | JESSICA WILLIAMS Vice President 866-462-7202 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251J00000X Nursing Care | 
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care | 
| Enumeration Date | 2015-03-18 | 
| Last Update Date | 2015-03-23 |