Tyler D Ingersoll, DO

NPI #1952939183 in Justin, Texas

Provider Information

NPI Number: 1952939183
Entity Type: Individual
Name: Tyler D Ingersoll, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 1, 2020
Last Updated: Jul 17, 2025

Practice Location

Address: 1976 TEXAN DR STE 106
City: Justin
State: Texas
ZIP Code: 76247-6774
Phone: (682) 212-9020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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