Barrett, Timothy Marc

Barrett, Timothy Marc is an individual health care provider with primary practice located at 601 W State Highway 6 Suite 105, Waco TX 76710-5575. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Barrett, Timothy Marc can be contacted via phone (254) 741-6113.

Contact Information

Primary practice address
601 W State Highway 6 Suite 105 Waco TX 76710-5575
Phone: (254) 741-6113
Fax: (254) 741-6629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E4191 Texas

Profile Details

NPI number 1861505398
LBN Legal business name Barrett, Timothy Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated May 30th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861505398 NPPES
Texas MEDICAID 115486603

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