PATRICE JENNE TYSON MD NPI 1558569764

NPI Information

Patrice Jenne Tyson, MD is a pediatric gastroenterology pediatrics in Baton Rouge, LA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Patrice Jenne Tyson, MD NPI is 1558569764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7777 HENNESSY BLVD
SUITE 409
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-6834
Fax: (225) 765-2054

The NPI 1558569764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 10/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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