Provider Demographics
NPI:1760180848
Name:TYLER'S LYMPHEDEMA CARE
Entity Type:Organization
Organization Name:TYLER'S LYMPHEDEMA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CLWT
Authorized Official - Phone:903-373-1834
Mailing Address - Street 1:901 CHARLIE
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-3002
Mailing Address - Country:US
Mailing Address - Phone:903-373-1834
Mailing Address - Fax:
Practice Address - Street 1:901 CHARLIE
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-3002
Practice Address - Country:US
Practice Address - Phone:903-373-1834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy