Organization
TYLER WOOTEN, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER WOOTEN M.D. (PRESIDENT)
(214) 642-9717
Entity
Organization
Contact information
Practice address
3500 OAK LAWN AVE, SUITE 620, DALLAS, TX 75219-4308
(214) 642-9717
Mailing address
3500 OAK LAWN AVE, SUITE 620, DALLAS, TX 75219-4308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
L9020
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
L9020
TX
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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