Wooten, Dale A

Wooten, Dale A is an individual health care provider with primary practice located at 312 E Houston St , Tyler TX 75702-8218. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Wooten, Dale A can be contacted via phone (480) 777-0607.

Contact Information

Primary practice address
312 E Houston St Tyler TX 75702-8218
Phone: (480) 777-0607
Fax: (480) 777-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1043595465
LBN Legal business name Wooten, Dale A
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2011 - about 13 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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