Tyler Wooten, MD, PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

L9020 Issued in TX

Legal business name

TYLER WOOTEN, MD, PLLC

Practice address

3500 Oak Lawn Ave
Suite 620
Dallas, TX 75219-4308

Phone

(214) 642-9717

NPI assigned

Aug 2, 2011

Last updated

Aug 2, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tyler Wooten, M.D.NPI 1821050865

Title

President

Phone

(214) 642-9717

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler Allen Wooten, MD

  • Child & Adolescent Psychiatry Physician
  • Dallas, TX
  • NPI 1821050865
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1467730861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE",
            "address_2": "SUITE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE",
            "address_2": "SUITE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194308",
            "telephone_number": "214-642-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER WOOTEN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-642-9717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L9020",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boranai Tychhon, MD
• Jason Tydlaska, CRNA
• Grace Anlon Tye, M.D.
• Timothy Talbot Tye, D.O.
• Tyler Rose Academy of Learning Center (Tyler Rose Education and Mental Health Center)
• Andrea Lynn Tyler
• Clarence Jorelle Tyler, M.D.
• D. Bailey Tyler, RPH
• David Lendon Tyler, MD
• Julie Benell Tyler

• Child & Adolescent Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.