Tytle, Timothy Lawrence

Tytle, Timothy Lawrence is an individual health care provider with primary practice located at 4625 S Western Ave , Oklahoma City OK 73109-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Tytle, Timothy Lawrence can be contacted via phone (405) 632-2323.

Contact Information

Primary practice address
4625 S Western Ave Oklahoma City OK 73109-3831
Phone: (405) 632-2323
Fax: (405) 631-9315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 11480 Oklahoma

Profile Details

NPI number 1639137953
LBN Legal business name Tytle, Timothy Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 24th, 2008 - about 16 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 1639137953 NPPES
Oklahoma MEDICAID 100213590B

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