Provider Demographics
NPI:1659180958
Name:TYLER MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:TYLER MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUABENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-780-1499
Mailing Address - Street 1:10601 GRANT RD STE 116
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4449
Mailing Address - Country:US
Mailing Address - Phone:281-318-6655
Mailing Address - Fax:281-318-6655
Practice Address - Street 1:10601 GRANT RD STE 116
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4449
Practice Address - Country:US
Practice Address - Phone:281-318-6655
Practice Address - Fax:281-318-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies