Niacaris, Timothy R
Niacaris, Timothy R is an individual health care provider with primary practice located at 902 W Randol Mill Rd Ste 120 , Arlington TX 76012-2579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Niacaris, Timothy R can be contacted via phone (682) 212-9190.Contact Information
Primary practice address
902 W Randol Mill Rd Ste 120
Arlington TX 76012-2579
Phone: (682) 212-9190
Fax: (682) 212-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | N9755 | Texas |
Profile Details
| NPI number | 1700033743 |
|---|---|
| LBN Legal business name | Niacaris, Timothy R |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Feb 28th, 2022 - about 3 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 | 1700033743 | NPPES |
| Texas | Other | 8CW354 | BCBS |
| Texas | Other | P00998012 | BCBS |
| Texas | MEDICAID | 285356601 | BCBS |
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