Timothy Dale, | |
1136 E Grande Blvd, Tyler, TX 75703-3982 | |
(903) 592-5601 | |
Not Available |
Full Name | Timothy Dale |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 7 Years |
Location | 1136 E Grande Blvd, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316478662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | T5094 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heaton Ear Nose And Throat Associates Of East Texas P A | 4688774482 | 7 |
Entity Name | Heaton Ear Nose And Throat Associates Of East Texas P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306988035 PECOS PAC ID: 4688774482 Enrollment ID: O20090120000320 |
Mailing Address | Practice Location Address |
---|---|
Timothy Dale, 6501 Fannin St Ste Nb302, Houston, TX 77030-2703 Ph: (713) 798-5106 | Timothy Dale, 1136 E Grande Blvd, Tyler, TX 75703-3982 Ph: (903) 592-5601 |
Dr. Monica Jane Hardee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 Fax: 903-595-3304 | |
James Dan Toney, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 630 S Fleishel Ave, Tyler, TX 75701 Phone: 903-533-1491 | |
Christopher A Perro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703 Phone: 903-747-4050 Fax: 903-747-4075 | |
Scott Fraser Kohlert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 530, Tyler, TX 75702 Phone: 903-606-4300 | |
Howard Scott Garb, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 Fax: 903-595-3304 | |
John Franklin Hudnall, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3413 Golden Rd, Tyler, TX 75701 Phone: 903-592-5601 Fax: 903-595-3304 |