Dale A Wooten Jr., CCP
Dale A Wooten Jr., CCP is a Perfusionist in Tyler, Texas. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
312 E Houston StTyler, TX 75702-8218
Phone: (480) 777-0607
Fax: (480) 777-1345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X |
|---|
Record details
| NPI number | 1043595465 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | No |
| NPI enumerated | October 17, 2011 |
| Last updated in NPPES | October 17, 2011 |
Other providers in Tyler
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Ty E Hamilton, CCP
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Darell R Miller, CCP
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Troy A Trpkosh, CCP
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Scott G Watts, CCP
312 E Houston St, Tyler, TX 75702-8218 · (903) 535-5011