Thomas, Timothy Kevin

Thomas, Timothy Kevin is an sole proprietor health care provider with primary practice located at 2945 Southwest Pkwy , Wichita Falls TX 76308-4145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thomas, Timothy Kevin can be contacted via phone (940) 687-8000.

Contact Information

Primary practice address
2945 Southwest Pkwy Wichita Falls TX 76308-4145
Fax: (940) 687-7005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G3850 Texas

Profile Details

NPI number 1669466694
LBN Legal business name Thomas, Timothy Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Feb 21st, 2019 - about 6 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 1669466694 NPPES
Texas MEDICAID 114474304

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