Archer, Timothy Frank
Archer, Timothy Frank is an sole proprietor health care provider with primary practice located at 3111 Mccann Rd Emergency Room, Longview TX 75605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Archer, Timothy Frank can be contacted via phone (903) 753-1212.Contact Information
Primary practice address
3111 Mccann Rd Emergency Room
Longview TX 75605
Phone: (903) 753-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L3560 | Texas |
Profile Details
| NPI number | 1205814993 |
|---|---|
| LBN Legal business name | Archer, Timothy Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1205814993 | NPPES |
| Texas | Other | L3560 | STATE LICENCSE |
| Texas | MEDICAID | 153233501 | STATE LICENCSE |
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