person
Dr. Tyler Theriot, MD
Student in an Organized Health Care Education/Training Program in Baton Rouge, Louisiana
NPI 1497332936

Tyler Theriot is a Student in an Organized Health Care Education/Training Program based in Baton Rouge, LA. Tyler Theriot practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Tyler Theriot is 1497332936 and holds a License No. (Louisiana).

The current practice location address for Tyler Theriot is 5246 Brittany Dr, Baton Rouge, LA and can be reached out via phone at 225-757-4080.

Location: 5246 Brittany Dr, Baton Rouge, LA, 70808-9136
person
Provider Profile Details
NPI Number
1497332936
Provider Name
Tyler Theriot
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5246 Brittany Dr, Baton Rouge, LA, 70808-9136
Phone Number
225-757-4080
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5246 Brittany Dr
City
State
Zip
70808-9136
Phone Number
225-757-4080
Fax Number
person
Provider Business Mailing Address Details
Address
5246 Brittany Dr
City
State
Zip
70808-9136
Phone Number
225-757-4080
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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