Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY BRYAN OLIVER, LAT, ATC
Active Sole ProprietorCODY BRYAN OLIVER, LAT, ATC is a Sports Medicine (PM&R) healthcare provider located in TYLER, Texas. NPI 1457991697 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · TYLER, TX
Registration Details
- NPI Number
- 1457991697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2020 (6.431244285767 yrs)
- Last Updated
- Jan 15, 2020
- License
-
AT7635 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 UNIVERSITY BLVDTYLER, TX, 757996600Browse TX providers · Browse ZIP 75799
- Phone
- 9035655742
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE M FIESELER | MD | 1225002819 |
| ALLISON M TOBOLA | MD | 1447466594 |
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.