Allen, Timothy Denver
Allen, Timothy Denver is an sole proprietor health care provider with primary practice located at 11803 South Fwy Ste 203A , Burleson TX 76028-7030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Allen, Timothy Denver can be contacted via phone (817) 759-9759.Contact Information
Primary practice address
11803 South Fwy Ste 203A
Burleson TX 76028-7030
Phone: (817) 759-9759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9009 | Texas |
Profile Details
| NPI number | 1033172499 |
|---|---|
| LBN Legal business name | Allen, Timothy Denver |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Dec 28th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033172499 | NPPES |
| Texas | MEDICAID | 096407402 | |
| Texas | MEDICAID | 096407406 | |
| Texas | Other | 80810Y | |
| Texas | MEDICAID | 096407407 |
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