Doucet, Timothy Wayne
Doucet, Timothy Wayne is an individual health care provider with primary practice located at 400 S Loop 336 W , Conroe TX 77304-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Doucet, Timothy Wayne can be contacted via phone (936) 539-4500.Contact Information
Primary practice address
400 S Loop 336 W
Conroe TX 77304-3302
Phone: (936) 539-4500
Fax: (936) 539-4050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E0891 | Texas |
Profile Details
| NPI number | 1366538654 |
|---|---|
| LBN Legal business name | Doucet, Timothy Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jun 28th, 2021 - about 4 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 | 1366538654 | NPPES |
| Texas | MEDICAID | 123973304 | |
| Texas | MEDICAID | 123973305 |
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