TYLER BLAKE COX

SHREVEPORT, LA
NPI1346017159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  239401)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-12-11
Last Update Date2025-02-10
Business Address
Mr. TYLER BLAKE COX SRNA
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
Mailing Address
Mr. TYLER BLAKE COX SRNA
4031 FALSE RIVER DR
BOSSIER CITY, LA 71111-6438
Phone number: 318-584-2207