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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TYRONE IRVINE JR.

Active Sole Proprietor

MR. TYRONE IRVINE JR. is a Bus healthcare provider located in ETHEL, Louisiana. NPI 1710645429 is currently active in the NPPES registry. Verify at CMS.

Bus · ETHEL, LA

Registration Details

NPI Number
1710645429
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2021 (4.6963102215181 yrs)
Last Updated
Dec 8, 2021
Sole Proprietor
Yes

Practice Information

Address
4297 OAKLAND DR
ETHEL, LA, 707303140
Browse LA providers · Browse ZIP 70730
Phone
2253018643
Primary Specialty
Bus
343900000X
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.