Individual
MISS JULIE BENELL TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4054 HUCKLEBERRY CIR, DALLAS, TX 75216-6035
(214) 374-1206
(214) 374-0731
Mailing address
4054 HUCKLEBERRY CIR, DALLAS, TX 75216-6035
(214) 374-1206
(214) 374-0731
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
119785
TX
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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