Organization
CHRISTOPHER L TYE MD DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEE TYE MD DDS (PRESIDENT)
(817) 552-3225
Entity
Organization
Contact information
Practice address
6904 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034
(817) 552-3223
(817) 552-3224
Mailing address
6904 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034
(817) 552-3223
(817) 552-3224
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
J2388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110918303
—
TX
Enumeration date
07/06/2006
Last updated
07/30/2008
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