NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS
Speech Language Pathology at Central Expy, Dallas, TX

License number
Texas P3282
Category
Medical Practice
Type
Specialist
License number
Texas N2729
Category
Medical Practice
Type
Specialist
License number
Texas L5957
Category
Medical Practice
Type
Specialist
License number
Texas J8423
Category
Medical Practice
Type
Specialist
License number
Texas 51752
Category
Speech Language Pathology
Type
Audiologist
License number
Texas 18470
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: DR. JOSEPH ROBERT WYATT M.D.
Title: PRESIDENT
Phone: (214) 382-5100
Address
Address
11970 N Central Expy SUITE 400, Dallas, TX 75243
National Provider ID: 1952558991
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH DALLAS OTOLARYNGOLOGY CONSULTANTS, PA

Dallas, TX  -  Garland, TX

Registration:
May 17, 1995
Addresses:
11970 N Central Expy STE 400, Dallas, TX 75243 (Mailing)
7150 N President George Bush Hwy, Garland, TX 75044
State ID:
0081614503
Business type:
Professional Association
Member , Secretarys:
J. Robert Wyatt (President , Treasurer , Director , Member , Vice-President),Allison N. Wyll (Member , Secretary)
Agent:
David B Moseley Jr,14801 Quorum Dr SUITE 500, Dallas, TX 75254 (Physical)
TIN:
32036017328

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