Individual provider · Type 1 NPI

Tyler D. Ingersoll, DO

Family Medicine Physician · Justin, TX

NPI number 1952939183 Active

Practice location

1976 Texan Dr Ste 106
Justin, TX 76247-6774

Mailing address

2345 Southwest Blvd
Tulsa, OK 74107-2705

Other practice locations

  • 2345 Southwest Blvd, Tulsa, OK 74107-2705 · (918) 582-1980

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician 207QS0010XU8743 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000XU8743 (TX)

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 1952939183

Tyler D. Ingersoll, DO's National Provider Identifier is 1952939183, issued on Apr 1, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Justin, TX. The record was last updated on Jul 17, 2025.