Wooten, Tyler Allen
Wooten, Tyler Allen is an sole proprietor health care provider with primary practice located at 3500 Oak Lawn Ave Suite 620, Dallas TX 75219-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Wooten, Tyler Allen can be contacted via phone (214) 642-9717.Contact Information
Primary practice address
3500 Oak Lawn Ave Suite 620
Dallas TX 75219-4308
Phone: (214) 642-9717
Fax: (214) 599-0366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | L9020 | Texas |
Profile Details
| NPI number | 1821050865 |
|---|---|
| LBN Legal business name | Wooten, Tyler Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821050865 | NPPES |
| Texas | MEDICAID | 166338701 |
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