Dr. Tyler Wayne Fraser
Foot and Ankle Orthopaedic Surgeon
1244 Primacy Pkwy
Memphis
, Tennessee 38119-0201
Dr. Tyler Wayne Fraser
Foot and Ankle Orthopaedic Surgeon
1244 Primacy Pkwy
Memphis
, Tennessee 38119-0201
(901) 786-4198
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Tyler Wayne Fraser
- 6077 Primacy Pkwy Ste 140
- Memphis, TN
- Zip : 38119-5754
- Phone : (901) 786-4198
Second Address
- Dr. Tyler Wayne Fraser
- 1244 Primacy Pkwy
- Memphis, TN
- Zip : 38119-0201
- Fax : (901) 767-8666
- Phone : (901) 767-8662
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 62663 | TN |
National Provider Identifier
| NPI | 1629464896 |
|---|---|
| Provider Name | Dr. Tyler Wayne Fraser |
| First Address | Memphis, TN 38119-5754 |
| Second Address | Memphis, TN 38119-0201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2015 |
| Last Update Date | 02/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 62663 | TN LICENSE (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.