Dr. Tyler Randall Davis, MD
Emergency Medicine in Monroe, LA. Individual provider (NPI-1).
NPI number1972064160
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1972064160
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler Randall Davis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2019
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 329162 | LA | Yes |
Practice location
4864 Jackson StMonroe, LA 71202-6400
Phone 318-330-7000
Mailing address
1512 W Kirby PlShreveport, LA 71103-3822
Phone 318-626-0287
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