Our Team

Meet our team of surgeons

Our highly-qualified, experienced team makes Tyler Neurosurgical Associates exceptional. Our neurosurgeons and staff are committed to caring for patients in a timely, professional matter. Our treatment approach includes working closely with referral sources and offering ongoing consultation once patients have returned to their home communities.

Tyler Neurosurgical Associates team members group photo
Paul Detwiler neurosurgeon in Tyler, TX

Paul W. Detwiler, MD
Surgeon

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Thomas Grahm neurosurgeon in Tyler, Texas

Thomas W. Grahm, MD, FACS
Surgeon

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Mark Renfro neurosurgeon in Tyler, Texas

Mark B. Renfro, MD
Surgeon

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Stephen Nalbach neurosurgeon in Tyler, Texas

Stephen V. Nalbach, MD
Surgeon

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Mayra Acord nurse practioner in Tyler, Texas

Mayra Acord, RN, AGACNP-BC
Nurse Practitioner

Learn more about Mayra Acord