Tydlaska, Jason

Tydlaska, Jason is an individual health care provider with primary practice located at 4509 Lemmon Ave , Dallas TX 75219-2145. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tydlaska, Jason can be contacted via phone (214) 692-6500.

Contact Information

Primary practice address
4509 Lemmon Ave Dallas TX 75219-2145
Phone: (214) 692-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 630385 Texas

Profile Details

NPI number 1508838459
LBN Legal business name Tydlaska, Jason
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2006
Last updated Jul 28th, 2014 - about 10 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.

Request for update

Popular Providers