MEDICARE: TYMES HEALTHCARE COMPANY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	21579	TX

General Provider Information

NPI Number	:	1639681661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TYMES HEALTHCARE COMPANY PLLC

Provider Business Mailing Address
First Line	:	3440 RILEY FUZZEL RD STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-4189
Country	:	US
Telephone Number	:	832-652-7330
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 RILEY FUZZEL RD STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-4189
Country	:	US
Telephone Number	:	832-652-7330
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NISHANO THOMAS
Credential	:	DMD
Telephone Number	:	832-652-7330

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	10/31/2017

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Directions to “TYMES HEALTHCARE COMPANY PLLC ” Practice Location

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