| Tks Psychiatry | |
|
2200 E River Rd Ste 112 Tucson AZ 85718-6577 | |
| (520) 888-3553 | |
| (520) 888-3301 |
| Full Name | Tks Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 E River Rd Ste 112, Tucson, Arizona |
| Authorized Official Name and Position | Tyler Robert Shiflett (OWNER) |
| Authorized Official Contact | 5208883553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tks Psychiatry 2200 E River Rd Ste 112 Tucson AZ 85718-6577 Ph: () - | Tks Psychiatry 2200 E River Rd Ste 112 Tucson AZ 85718-6577 Ph: (520) 888-3553 |
| NPI Number | 1639871601 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 1153796081 |
|---|---|
| Medicare Enrollment ID | O20230407000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639871601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tyler Robert Shiflett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013409580 PECOS PAC ID: 4486905312 Enrollment ID: I20230407000129 |
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