Georgelas, Timothy John

Georgelas, Timothy John is an individual health care provider with primary practice located at 403 W Campbell Rd Suite 201, Richardson TX 75080-3465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Georgelas, Timothy John can be contacted via phone (972) 498-4000.

Contact Information

Primary practice address
403 W Campbell Rd Suite 201 Richardson TX 75080-3465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G2140 Texas

Profile Details

NPI number 1184688970
LBN Legal business name Georgelas, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Apr 11th, 2008 - about 17 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 1184688970 NPPES
Other 8U5020 BCBS

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