Puckett, Timothy O'Dell

Puckett, Timothy O'Dell is an sole proprietor health care provider with primary practice located at 7007 Bandera Rd Ste 3 , Leon Valley TX 78238-1264. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Puckett, Timothy O'Dell can be contacted via phone (210) 387-6993.

Contact Information

Primary practice address
7007 Bandera Rd Ste 3 Leon Valley TX 78238-1264
Phone: (210) 387-6993
Fax: (210) 855-2542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1206227 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1206227 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1206227 Texas

Profile Details

NPI number 1184910507
LBN Legal business name Puckett, Timothy O'Dell
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2011
Last updated May 4th, 2018 - about 7 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 1184910507 NPPES
Texas MEDICAID 290438501
Texas Other 12284562
Texas Other 867T19

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