Tyler Cameron Jefferson, PA-C

NPI #1740245968 in Denton, Texas

Provider Information

NPI Number: 1740245968
Entity Type: Individual
Name: Tyler Cameron Jefferson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 19, 2006
Last Updated: May 23, 2013

Practice Location

Address: 2535 W OAK ST
City: Denton
State: Texas
ZIP Code: 76201-2331
Phone: (940) 382-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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