Individual
WAYNE TIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 S PONDS DR, WEBSTER, TX 77598-1409
(713) 442-4300
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
S0580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402184201
—
TX
05
—
402184202
—
TX
05
—
402184203
—
TX
Enumeration date
04/01/2014
Last updated
06/22/2021
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