Austin Tyler, DDS is a
Student In An Organized Health Care Education/training Program based in Jbsa Lackland, Texas. Austin Tyler is licensed to practice in * (Not Available) (license number ) and his current practice location is
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 292-0123.
NPI number for Austin Tyler is 1902416027 and his current mailing address is 3435 Rocky Stream Dr, Fort Collins, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902416027.
Healthcare Provider's Profile
Full Name | Austin Tyler |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902416027
- Provider Enumeration Date: 08/04/2020
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Austin Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902416027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DEN.00204403 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Austin Tyler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Austin Tyler, DDS 3435 Rocky Stream Dr, Fort Collins, CO 80528-7197 Ph: () - | Austin Tyler, DDS 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-0123 |
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