DR. EDWARD P TYSON (NPI# 1881783413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881783413 |
| Entity Type | Individual |
| Full Name | DR. EDWARD P TYSON |
| Credential | MD |
| Practice Address |
3811 Bee Caves Rd Ste 200 Austin TX 78746-6459 |
| Practice Telephone | 5123809999 |
| Practice Fax Number | 5123800072 |
| Mailing Telephone | 5123809999 |
| Mailing Fax Number | 5123800072 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
G3873 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830145 | Edward Lee Tyson IIi | Behavior Technician | 1026 Cromwell Bridge Rd, Baltimore, MD 21286-3318 | 2018-05-07 |
| Street Address |
3811 BEE CAVES RD STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746-6459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087637 | Phgtx Inc. | Family Medicine | 211 E 7th St Ste 620, Austin, TX 78701-3218 | 2018-03-23 |
| 1386767515 | William Charles Nemeth | Family Medicine | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2007-04-10 |
| 1891852117 | David Garfield Jones | Family Medicine | 8700 Manchaca Rd, Building N1 Suite 103, Austin, TX 78748-5371 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586532 | Salvation' International Mission | Family Medicine | 1341 County Road 557, Farmersville, TX 75442-7081 | 2019-09-09 |
| 1598036642 | James Thomas Payte | Family Medicine | 260 Panther Xing, Wimberley, TX 78676-5767 | 2012-01-21 |
| 1255535829 | Karen Quintavell Radcliffe | Family Medicine | 201 Enterprise Avenue, Suite 800, League City, TX 77573 | 2007-06-14 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1831246842 | Jeffrey L Butts | Family Medicine | 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989 | 2007-01-04 |
| 1942373816 | Texas Avenue Medical Clinic | Family Medicine | 1703 E 29th Street, Bryan, TX 77802 | 2006-11-16 |
| 1780693911 | Robert M. Leath | Family Medicine | 3033 North Gessner Drive, Suite 1106, Houston, TX 77080 | 2006-08-05 |
| 1639114176 | Samuel B. Ganz | Family Medicine | 13509 Camino De Plata Ct, Corpus Christi, TX 78418-6966 | 2006-06-18 |
| 1255329694 | Katherine H Thompson | Family Medicine | 6300 Richmond Ave, Houston, TX 77057 | 2005-10-10 |
| 1568460962 | Carroll Wayne Thornburg | Family Medicine | 725 S Mesa Hills Dr, Suite 1, Bldg. 1, El Paso, TX 79912-5568 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.