Timothy J Daheim Pa
LBN: Timothy J Daheim Pa
Timothy J Daheim Pa is an health care organization with primary practice located at 2407 S Clear Creek Rd , Killeen TX 76549-5721. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Timothy J Daheim Pa can be contacted via phone (254) 773-0764, or through Daheim, Timothy J via phone (254) 773-0764.
Contact Information
Primary practice address
2407 S Clear Creek Rd
Killeen TX 76549-5721
Phone: (254) 773-0764
Fax: (254) 935-2258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 31399 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 31399 | Texas |
Profile Details
| NPI number | 1376973321 |
|---|---|
| LBN Legal business name | Timothy J Daheim Pa |
| DBA Doing business as | |
| Authorized official | Daheim, Timothy J PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2013 |
| Last updated | Feb 14th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376973321 | NPPES |
| Texas | MEDICAID | 347534501 | |
| Texas | MEDICAID | 140806403 |
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