Individual provider · Type 1 NPI

Dale A. Wooten Jr., CCP

Perfusionist · Tyler, TX

NPI number 1043595465 Active

Practice location

312 E Houston St
Tyler, TX 75702-8218

Fax (480) 777-1345

Mailing address

PO Box 27664
Tempe, AZ 85285-7664

Specialties and licenses

TaxonomyCodeLicense
Perfusionist Primary 242T00000XNone listed

Perfusionist: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the …

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About NPI 1043595465

Dale A. Wooten Jr., CCP's National Provider Identifier is 1043595465, issued on Oct 17, 2011. The primary taxonomy on file is Perfusionist (242T00000X), and the practice location is in Tyler, TX. The record was last updated on Oct 17, 2011.