Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN WYLY
Active Sole ProprietorCAROLYN WYLY is a 136A00000X healthcare provider located in HOUSTON, Texas. NPI 1417241175 is currently active in the NPPES registry. Verify at CMS.
136A00000X · HOUSTON, TX
Registration Details
- NPI Number
- 1417241175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2011 (15.176648212876 yrs)
- Last Updated
- May 30, 2011
- License
-
DT04433 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2620 TANGLEWILDE STHOUSTON, TX, 770633203Browse TX providers · Browse ZIP 77063
- Phone
- 7138608383
- Fax
- 7138608384
- Primary Specialty
-
136A00000X
136A00000X
Other 136A00000X Providers in HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| OLIVA OLIVAREZ | D.T. | 1689706392 |
| MR. ERIC VON RUNNELS | NDTR | 1588273775 |
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.