O'Brien, Timothy J

O'Brien, Timothy J is an individual health care provider with primary practice located at 504 Medical Center Blvd , Conroe TX 77304-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. O'Brien, Timothy J can be contacted via phone (409) 539-1111.

Contact Information

Primary practice address
504 Medical Center Blvd Conroe TX 77304-2808
Phone: (409) 539-1111
Fax: (409) 788-8044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K4515 Texas

Profile Details

NPI number 1093785891
LBN Legal business name O'Brien, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 15th, 2008 - about 16 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 1093785891 NPPES
Texas Other 8F9638 BC/BS PROVIDER NUMBER
Texas MEDICAID 1502445-01 BC/BS PROVIDER NUMBER

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