Dr. Jim G. Tyree, Pc

NPI 1245232206 - Dentist - 122300000X

NPI Details
NPI 1245232206
Enumeration Date 06/02/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JIM GORDON JIM
Position OWNER
Phone (512) 328-4411
Fax (512) 328-4434
Practice Location
901 S. MOPAC
BLDG. 2, SUITE 395
AUSTIN TX, 78746, US
Phone (512) 328-4411
Fax (512) 328-4434
Business Location
901 S. MOPAC
BLDG. 2, SUITE 395
AUSTIN TX, 78746, US
Phone (512) 328-4411
Fax (512) 328-4434
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 13413
Remove 1245232206 NPI Number
 

According to our database, Dr. Jim G. Tyree, Pc NPI is 1245232206, taxonomy code is 122300000X and license number is 13413, license state is located at Texas. Dr. Jim G. Tyree, Pc physically located at 901 S. Mopac, Austin TX, 78746. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1245232206 NPI number is provided on an as is basis without warranty of any kind. 1245232206 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Jim G. Tyree, Pc are for informational purposes only.