STEPHEN TYLER INGRAM

AUSTIN, TX
NPI1659780146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA10994)
Enumeration Date2014-08-08
Last Update Date2025-12-15
Business Address
Mr. STEPHEN TYLER INGRAM PA
1010 W 40TH ST
AUSTIN, TX 78746
Phone number: 512-459-8753
Mailing Address
Mr. STEPHEN TYLER INGRAM PA
1010 W 40TH ST
AUSTIN, TX 78756-4010
Phone number: 512-459-8753
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