| Doctor Name: | MR. TY JOO MCCOMAS |
| NPI Number: | 1164813184 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | APRN-1854 |
| Business Practice Address: | 30 Oki Place Kaunakakai, HI - 96748 |
| Business Phone Number: | 8085535038 |
| Business Fax Number: | 8085533780 |
| Mailing Address: | Po Box 2040, KAUNAKAKAI |
| State: | HI |
| Postal Code: | 967482040 |
| Phone Number: | 8085535038 |
| Fax Number: | 8085533780 |
| NPI Enumeration Date: | 02/12/2015 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN-1854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |