Sam Tyson, M.D

NPI 1659323848 · on the registry since 2006 · sole proprietor

Practice

Address: 6898 Doniphan Dr
Canutillo, TX 79835
Phone: (915) 877-3151
Fax: (915) 877-5346
Organisation at this address: Pk Pharma Llc
West Valley Clinic, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207R00000X
207R00000X
Also registered as: 207P00000X
208D00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas