Revell, Timothy John
Revell, Timothy John is an individual health care provider with primary practice located at 9601 Spur 591 , Amarillo TX 79107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Revell, Timothy John can be contacted via phone (806) 381-7080.Contact Information
Primary practice address
9601 Spur 591
Amarillo TX 79107
Phone: (806) 381-7080
Fax: (806) 381-0417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 62827 | Texas |
Profile Details
| NPI number | 1477735322 |
|---|---|
| LBN Legal business name | Revell, Timothy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Dec 3rd, 2007 - about 18 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 | 1477735322 | NPPES |
| Texas | MEDICAID | TXBG2827 |
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