Tietze, David Christopher

Tietze, David Christopher is an individual health care provider with primary practice located at 1801 Inwood Rd Wa4.306, Dallas TX 75390-8883. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Tietze, David Christopher can be contacted via phone (214) 645-3304.

Contact Information

Primary practice address
1801 Inwood Rd Wa4.306 Dallas TX 75390-8883
Phone: (214) 645-3304
Fax: (214) 645-3323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X N9971 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X N9971 Texas

Profile Details

NPI number 1700029196
LBN Legal business name Tietze, David Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Sep 13th, 2023 - about last year

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 1700029196 NPPES
Texas Other 327943204 MEDICAID TARRANT
Texas Other 310248YNGS MEDICAID TARRANT
Texas Other 327943203 MEDICAID TARRANT
Texas Other 310248YL7A MEDICAID TARRANT
Texas Other 327943202 MEDICAID TARRANT
Texas Other 310248YL7B MEDICAID TARRANT

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