Individual
TYA BETH WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, M.S
Contact information
Practice address
621 N HALL ST, SUITE 510, DALLAS, TX 75226-1339
(214) 824-2510
(214) 826-0130
Mailing address
5517 50TH ST APT 1010, LUBBOCK, TX 79414-1651
(602) 741-8760
(214) 826-0130
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF1097
TX
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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