Individual
DR. WILLIBROAD W TICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9600 GOLF LAKES TRAIL, 1007, DALLAS, TX 75231
(202) 294-8080
Mailing address
9600 GOLF LAKES TRAIL, 1007, DALLAS, TX 75231
(202) 294-8080
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
TX
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/16/2021
Last updated
10/04/2023
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