Organization
DR. JIM G. TYREE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM GORDON TYREE D.D.S. (OWNER)
(512) 328-4411
Entity
Organization
Contact information
Practice address
901 S. MOPAC, BLDG. 2, SUITE 395, AUSTIN, TX 78746
(512) 328-4411
(512) 328-4434
Mailing address
901 S. MOPAC, BLDG. 2, SUITE 395, AUSTIN, TX 78746
(512) 328-4411
(512) 328-4434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13413
TX
Other
Enumeration date
06/02/2005
Last updated
08/22/2020
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