Khater, Timothy Tamim

Khater, Timothy Tamim is an individual health care provider with primary practice located at 5109 80Th St , Lubbock TX 79424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Khater, Timothy Tamim can be contacted via phone (806) 792-5900.

Contact Information

Primary practice address
5109 80Th St Lubbock TX 79424
Fax: (806) 792-6092
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K3276 Texas

Profile Details

NPI number 1669476255
LBN Legal business name Khater, Timothy Tamim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669476255 NPPES
Texas MEDICAID 092254403
Texas Other 180036465

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