Tie, Wayne

Tie, Wayne is an individual health care provider with primary practice located at 1010 S Ponds Dr , Webster TX 77598-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tie, Wayne can be contacted via phone (713) 442-4300.

Contact Information

Primary practice address
1010 S Ponds Dr Webster TX 77598-1409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X S0580 Texas

Profile Details

NPI number 1982022687
LBN Legal business name Tie, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Jun 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982022687 NPPES
Texas MEDICAID 402184202
Texas MEDICAID 402184203
Texas MEDICAID 402184201

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