Individual provider · Type 1 NPI

Stephanie Renee Tyo, MD

Family Medicine Physician · Tyler, TX

NPI number 1417277435 Active

Practice location

13172 State Highway 64 E
Tyler, TX 75707-5340

Fax (903) 630-6740

Mailing address

523 S Fannin Ave
Tyler, TX 75702-8204

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X30198 (WV)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1417277435

Stephanie Renee Tyo, MD's National Provider Identifier is 1417277435, issued on Jun 2, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tyler, TX. The record was last updated on Jan 5, 2026.