Mr. Tyler Flavin, CPO
Mr. Tyler Flavin, CPO is an Orthotist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2122 Babcock Rd Ste 102San Antonio, TX 78229-4411
Phone: (210) 692-1111
Fax: (210) 692-6041
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 101279 (TX) |
|---|---|
| Orthotist | Taxonomy 222Z00000X · Licence 1858 (TX) |
Record details
| NPI number | 1356006480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | Yes |
| NPI enumerated | November 3, 2021 |
| Last updated in NPPES | November 3, 2021 |
| Certification date | November 3, 2021 |
| Mailing address | 2122 Babcock Rd Ste 102, San Antonio, TX 78229-4411 |
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