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Tyra Gordon

  • Female

Medical Specialty

Professional ID

  • NPI: 1265627483
  • PECOS ID: 5890927214
  • Enrollment ID: I20160802000510
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2007

Medical Practices

  • Organization Name: Adult And Child Mental Health Center Inc
  • Group Practice ID assigned by PECOS: 3678567898
  • Number of Group Practice member: 34

Location

  • Address1: 220 E Ohio St
  • Address2: Suite 600
  • City: Indianapolis
  • State: Indiana
  • Zip Code: 46204
  • Phone Number: (317)275-8800

Location

  • Address1: 8320 Madison Ave
  • Address2:
  • City: Indianapolis
  • State: Indiana
  • Zip Code: 46227
  • Phone Number: (317)882-5122

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):