Organization
NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROBERT WYATT M.D. (PRESIDENT)
(214) 382-5100
Entity
Organization
Contact information
Practice address
11970 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3768
(214) 382-5100
(214) 382-5199
Mailing address
11970 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3768
(214) 382-5100
(214) 382-5199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J8423
TX
174400000X
Specialist
L5957
TX
174400000X
Specialist
N2729
TX
174400000X
Specialist
Primary
P3282
TX
231H00000X
Audiologist
51752
TX
235Z00000X
Speech-Language Pathologist
18470
TX
Other
Enumeration date
08/21/2008
Last updated
11/28/2016
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