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DALE A WOOTEN JR. CCP
NPI 1043595465
Perfusionist in Tyler, TX

Active since October 17, 2011
312 E HOUSTON ST, TYLER, TX 75702(480) 777-0607(480) 777-1345 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dale A Wooten Jr. Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE A WOOTEN JR. CCP (NPI 1043595465) is an individual perfusionist provider in Tyler, Texas and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1043595465
Entity TypeIndividualMale
Primary Taxonomy242T00000X
Provider Legal NameDALE A WOOTEN JR.Credential: CCP
Location Address312 E HOUSTON STTyler, TX 75702-8218
Mailing AddressPo Box 27664Tempe, AZ 85285-7664 · (480) 777-0607 · Fax (480) 777-1345
Phone(480) 777-0607
Fax(480) 777-1345
Sole ProprietorNo
Enumeration DateOctober 17, 2011
✔ NPI 1043595465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
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 appropriate equipment and techniques to be used.
312 E HOUSTON ST, Tyler, TX 75702
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIRCULATORY DYNAMICS, INC.
Perfusionist
312 E HOUSTON ST
TYLER, TX 75702
Smith County (480) 777-0607
TROY A TRPKOSH CCP
Perfusionist
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011
SCOTT G WATTS CCP
Perfusionist
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011
WARREN D GOODWIN CCP
Perfusionist
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011
DARELL R MILLER CCP
Perfusionist
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011
JAMES S SELVIDGE CCP
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011
TY E HAMILTON CCP
Perfusionist
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011
CINDY HOOSER CCP
312 E HOUSTON ST
TYLER, TX 75702
Smith County (903) 535-5011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Wooten's NPI number?

The NPI number for Dale Wooten is 1043595465. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Where is Dale Wooten located?

Dale Wooten practices at 312 E Houston St, Tyler, TX 75702. The listed phone number is (480) 777-0607.

What is Dale Wooten's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Dale Wooten was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.