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

TYLER WAGNON, HIS

Active

TYLER WAGNON, HIS is a Hearing Instrument Specialist healthcare provider located in SHREVEPORT, Louisiana. NPI 1982161659 is currently active in the NPPES registry. Verify at CMS.

Hearing Instrument Specialist · SHREVEPORT, LA

Registration Details

NPI Number
1982161659
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2019 (7.4155683767028 yrs)
Last Updated
Feb 28, 2019
License
1268 (LA)

Practice Information

Address
425 ASHLEY RIDGE BLVD
SHREVEPORT, LA, 711067226
Browse LA providers · Browse ZIP 71106
Phone
3187973311
Primary Specialty
Hearing Instrument Specialist
237700000X

Other Hearing Instrument Specialist Providers in SHREVEPORT, LA

Name Credential NPI
MR. GERALD LYNN COCKERHAM 1386966273
JUSTIN STUART HIS 1356631584
MRS. LINDSEY P MOLLOY HIS 1245588649
JOYCE LANELL BLADES 1770249476
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.