Dale, Timothy

Dale, Timothy is an individual health care provider with primary practice located at 1136 E Grande Blvd , Tyler TX 75703-3982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Dale, Timothy can be contacted via phone (903) 592-5601.

Contact Information

Primary practice address
1136 E Grande Blvd Tyler TX 75703-3982
Phone: (903) 592-5601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X T5094 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1316478662
LBN Legal business name Dale, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Jun 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers