Organization
DAVID TYSON MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TYSON MD (OWNER)
(806) 359-4701
Entity
Organization
Contact information
Practice address
1215 S COULTER ST, STE 100, AMARILLO, TX 79106-1758
(806) 359-4701
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0565
TX
Other
Enumeration date
07/18/2014
Last updated
11/20/2014
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