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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DALE A WOOTEN JR., CCP

Active

DALE A WOOTEN JR., CCP is a Orthotic Fitter healthcare provider located in TYLER, Texas. NPI 1043595465 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · TYLER, TX

Registration Details

NPI Number
1043595465
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2011 (14.78520567489 yrs)
Last Updated
Oct 17, 2011

Practice Information

Address
312 E HOUSTON ST
TYLER, TX, 757028218
Browse TX providers · Browse ZIP 75702
Phone
4807770607
Fax
4807771345
Primary Specialty
Orthotic Fitter
242T00000X

Other Orthotic Fitter Providers in TYLER, TX

Name Credential NPI
DARELL R MILLER CCP 1437385895
SCOTT G WATTS CCP 1245466614
TROY A TRPKOSH CCP 1063648426
TY E HAMILTON CCP 1790911154
WARREN D GOODWIN CCP 1356577712
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.