Individual
DR. GARY RICHARD TYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N MACARTHUR BLVD, IRVING, TX 75062-4451
(972) 258-6400
(972) 570-1103
Mailing address
3100 N MACARTHUR BLVD, IRVING, TX 75062
(972) 258-6400
(972) 570-1103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2869
TX
207WX0120X
Cornea and External Diseases Specialist Physician
G2869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770753519
GROUP NPI
TX
Enumeration date
05/31/2005
Last updated
08/19/2021
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