TIMOTHY DALE

TYLER, TX
NPI1316478662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: TX  t5094)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-27
Last Update Date2022-06-27
Business Address
TIMOTHY DALE
1136 E GRANDE BLVD
TYLER, TX 75703-3982
Phone number: 903-592-5601
Mailing Address
TIMOTHY DALE
6501 FANNIN ST STE NB302
HOUSTON, TX 77030-2703
Phone number: 713-798-5106