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Timothy Dale
Student in an Organized Health Care Education/Training Program in Tyler, Texas
NPI 1316478662

Timothy Dale is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Timothy Dale practices in Tyler, TX. The NPI Number for Timothy Dale is 1316478662 and holds a License No. T5094 (Texas).

The current practice location address for Timothy Dale is 1136 E Grande Blvd, Tyler, TX and can be reached out via phone at 903-592-5601. You can also correspond with Timothy Dale through the mailing address at 6501 FANNIN ST STE NB302, HOUSTON, TX - 77030-2703 (mailing address contact number: 713-798-5106).

Location: 1136 E Grande Blvd, Tyler, TX, 77030-2703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316478662
Provider Name
Timothy Dale
Credential
Provider Entity Type
Individual
Gender
Male
Address
1136 E Grande Blvd, Tyler, TX, 77030-2703
Phone Number
903-592-5601
Fax Number
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1136 E Grande Blvd
City
Tyler
State
Texas
Zip
75703-3982
Phone Number
903-592-5601
Fax Number
person
Provider Business Mailing Address Details
Address
6501 Fannin St Ste Nb302
City
Houston
State
Texas
Zip
77030-2703
Phone Number
713-798-5106
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
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Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T5094 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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