NPI 1043595465

Dale a Wooten, CCP

Practitioner Perfusionist Tyler, TX

Practice location

Address: 312 E Houston St, Tyler, TX 75702-8218
Phone: (480) 777-0607
Fax: (480) 777-1345
Mailing address: PO Box 27664, Tempe, AZ 85285-7664

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

Other Perfusionist providers in Texas →

Registry record

NPI: 1043595465
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2011
Record last updated: 17 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.