Tylock, Gary Richard
Tylock, Gary Richard is an individual health care provider with primary practice located at 3100 N Macarthur Blvd , Irving TX 75062-4451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tylock, Gary Richard can be contacted via phone (972) 258-6400.Contact Information
Primary practice address
3100 N Macarthur Blvd
Irving TX 75062-4451
Phone: (972) 258-6400
Fax: (972) 570-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G2869 | Texas |
Profile Details
| NPI number | 1679576920 |
|---|---|
| LBN Legal business name | Tylock, Gary Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Aug 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679576920 | NPPES |
| Texas | Other | 1770753519 | GROUP NPI |
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