Individual
DR. CHRISTOPHER L TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
6904 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6288
(817) 552-3223
(817) 552-3224
Mailing address
6904 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6288
(817) 552-3223
(817) 552-3224
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
15676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110918303
—
TX
Enumeration date
06/22/2012
Last updated
06/22/2012
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