IndividualActive
Andrea Tyler
NPI 1295055275 · Community Health Worker · Dallas, TX
Provider details
- NPI number
- 1295055275
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- NAS569267 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
8004 W Virginia Dr Apt 207
Dallas, TX 75237-4422
Phone: (972) 709-3801
Approximate (ZIP-level) locationGet directions
Mailing address
8004 W Virginia Dr Apt 207
Dallas, TX 75237-4422
Registry dates
- Enumerated
- 2010-06-02
- Last updated
- 2010-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.