Bohan, Timothy P.
Bohan, Timothy P. is an sole proprietor health care provider with primary practice located at 6400 Fannin Street Suite 2740, Houston TX 77030-1539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Bohan, Timothy P. can be contacted via phone (713) 621-4422.Contact Information
Primary practice address
6400 Fannin Street Suite 2740
Houston TX 77030-1539
Phone: (713) 621-4422
Fax: (713) 621-4055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | H3784 | Texas |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | H3784 | Texas |
Profile Details
| NPI number | 1669426490 |
|---|---|
| LBN Legal business name | Bohan, Timothy P. |
| Credentials | PH.D.,M.D.,PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 19th, 2019 - about 5 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 | 1669426490 | NPPES |
| Texas | Other | 0009AT | BLUECROSS BLUE SHIELD TX |
| Texas | MEDICAID | 136295612 | BLUECROSS BLUE SHIELD TX |
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