| Dr. Jim G. Tyree, Pc | |
|
901 S. Mopac Bldg. 2, Suite 395 Austin TX 78746 | |
| (512) 328-4411 | |
| (512) 328-4434 |
| Full Name | Dr. Jim G. Tyree, Pc |
|---|---|
| Speciality | Dentist |
| Location | 901 S. Mopac, Austin, Texas |
| Authorized Official Name and Position | Jim Gordon Tyree (OWNER) |
| Authorized Official Contact | 5123284411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jim G. Tyree, Pc 901 S. Mopac Bldg. 2, Suite 395 Austin TX 78746 Ph: (512) 328-4411 | Dr. Jim G. Tyree, Pc 901 S. Mopac Bldg. 2, Suite 395 Austin TX 78746 Ph: (512) 328-4411 |
| NPI Number | 1245232206 |
|---|---|
| Provider Enumeration Date | 06/02/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245232206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13413 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |