Individual provider · NPI-1
Tyler Janz, MD
Otolaryngology · Charlotte, NC
NPI number1063830909
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1063830909
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyler Janz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2014
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 2025-02144 | NC | Yes |
| 183700000X | Pharmacy Technician | RPT52548 | FL | |
| 207Y00000X | Otolaryngology | 95192 | SC | |
| 207Y00000X | Otolaryngology | BP10066742 | TX |
Practice location
8035 Providence Rd Ste 320Charlotte, NC 28277-8910
Phone 704-752-7575
Mailing address
8035 Providence Rd Ste 320Charlotte, NC 28277-8910
Phone 704-752-7575
Other practice locations
301 University Blvd
Galveston, TX 77555-0521
Galveston, TX 77555-0521
Phone 409-772-4688 · Fax 409-772-1715
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