Titlow, Tad Wayland

Titlow, Tad Wayland is an sole proprietor health care provider with primary practice located at 105 North High Street , Henderson TX 75652-3133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Titlow, Tad Wayland can be contacted via phone (903) 392-8259.

Contact Information

Primary practice address
105 North High Street Henderson TX 75652-3133
Fax: (903) 392-8013
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 652143 Texas

Profile Details

NPI number 1073725669
LBN Legal business name Titlow, Tad Wayland
Credentials APN-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Oct 14th, 2010 - about 14 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 1073725669 NPPES
Texas Other 652143 LICENSE

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