Doctor Name: | DR. ERIC TYLER CZER |
NPI Number: | 1023464989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | R-04-2016MNT |
Business Practice Address: | 4311 E Lohman Ave Las Cruces, NM - 880118255 |
Business Phone Number: | 5755567600 |
Business Fax Number: | |
Mailing Address: | 4333 Hopi Ct, LAS CRUCES |
State: | NM |
Postal Code: | 880114349 |
Phone Number: | 6192275710 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R-04-2016MNT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |