Sam Tilden Tyson, M.D.

NPI #1659323848 in Canutillo, Texas

Provider Information

NPI Number: 1659323848
Entity Type: Individual
Name: Sam Tilden Tyson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 16, 2006
Last Updated: Sep 10, 2020

Practice Location

Address: 6898 DONIPHAN DR
City: Canutillo
State: Texas
ZIP Code: 79835-5401
Phone: (915) 877-3151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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