Wooten, Eric Tyler

Wooten, Eric Tyler is an individual health care provider with primary practice located at 2965 Harrison St Ste 211 , Beaumont TX 77702-1149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Wooten, Eric Tyler can be contacted via phone (409) 899-8501.

Contact Information

Primary practice address
2965 Harrison St Ste 211 Beaumont TX 77702-1149
Phone: (409) 899-8501
Fax: (409) 899-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N4849 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 58-001323 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X N4849 Texas

Profile Details

NPI number 1215147707
LBN Legal business name Wooten, Eric Tyler
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Sep 19th, 2022 - about 2 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 1215147707 NPPES
Texas MEDICAID 211211201

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