Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE STALLONE TYREE
Active Sole ProprietorCANDICE STALLONE TYREE is a Bus healthcare provider located in SHREVEPORT, Louisiana. NPI 1366900425 is currently active in the NPPES registry. Verify at CMS.
Bus · SHREVEPORT, LA
Registration Details
- NPI Number
- 1366900425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2019 (7.2532775658574 yrs)
- Last Updated
- Mar 7, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
6604 JEFFERSON PAIGE RDSHREVEPORT, LA, 711195006Browse LA providers · Browse ZIP 71119
- Phone
- 3182881949
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MR. GARY WAYNE SEETS | — | 1740492776 |
| MR. GREGORY JAY HILL JR. | — | 1750640298 |
| MISS CAROLINA WAKINA HARRISON | — | 1144571787 |
| CYNTHIA LEWIS GATES | — | 1508102104 |
| MATTIE MANUEL | — | 1033456223 |
| RODERICK WAYNE STEPHENSON JR. | — | 1023450533 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.