IndividualActive
Dale Wooten, CCP
NPI 1043595465 · Perfusionist · Tyler, TX
Provider details
- NPI number
- 1043595465
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
312 E Houston St
Tyler, TX 75702-8218
Phone: (480) 777-0607
Fax: (480) 777-1345
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27664
Tempe, AZ 85285-7664
Registry dates
- Enumerated
- 2011-10-17
- Last updated
- 2011-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.