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

TYRA COLE

Active Sole Proprietor

TYRA COLE is a Clinic/Center healthcare provider located in GRETNA, Louisiana. NPI 1992322010 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · GRETNA, LA

Registration Details

NPI Number
1992322010
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2020 (6.1236864646381 yrs)
Last Updated
Jul 14, 2020
Sole Proprietor
Yes

Practice Information

Address
405 GRETNA BLVD STE 112
GRETNA, LA, 700534945
Browse LA providers · Browse ZIP 70053
Phone
5043685905
Fax
5043685906
Primary Specialty
Clinic/Center
261Q00000X
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.