Tyronne A Bush, DO

Family Medicine in Colleyville, TX. Individual provider (NPI-1).

NPI number1215009683

StatusActive

Last updated in NPPESJul 29, 2024

Details

NPI: 1215009683
Entity type: Individual (NPI-1)
Name: Tyronne A Bush
Credential: DO
Sex: Male
Sole proprietor: No
Enumeration date: Nov 14, 2006
Certification date: Jul 29, 2024
Last updated: Jul 29, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	M4721	TX	Yes

Practice location

5408 Colleyville Blvd
Colleyville, TX 76034-5833

Phone 817-498-9920 · Fax 817-498-0635

Mailing address

5408 Colleyville Blvd
Colleyville, TX 76034-5833

Phone 817-498-9920 · Fax 817-498-0635

Is something wrong?

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Other Family Medicine Physician providers in Colleyville, TX

All 46 Family Medicine Physician providers in Colleyville · All 835 providers in Colleyville

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