Wooten, Tyler Allen

Wooten, Tyler Allen is an sole proprietor health care provider with primary practice located at 3500 Oak Lawn Ave Suite 620, Dallas TX 75219-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Wooten, Tyler Allen can be contacted via phone (214) 642-9717.

Contact Information

Primary practice address
3500 Oak Lawn Ave Suite 620 Dallas TX 75219-4308
Phone: (214) 642-9717
Fax: (214) 599-0366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X L9020 Texas

Profile Details

NPI number 1821050865
LBN Legal business name Wooten, Tyler Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Jul 12th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821050865 NPPES
Texas MEDICAID 166338701

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