Organization
CHAMPION ANESTHESIA CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TYE DO (OWNER/PHYSICIAN)
(817) 657-2030
Entity
Organization
Contact information
Practice address
421 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-3635
(817) 865-4516
Mailing address
7167 COLLEYVILLE BLVD STE 104, COLLEYVILLE, TX 76034-8002
(817) 657-2030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
04/24/2023
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