Search › Texas › 152W00000X
Dat Ly, O.D
NPI 1043276421 · on the registry since 2006
Practice
- Address
- 7924 S Broadway Ave
Ste 200
Tyler, TX 75703 - Phone
- (903) 617-6864
- Fax
- (903) 504-5758
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas