Wall, Timothy Jason

Wall, Timothy Jason is an individual health care provider with primary practice located at 4335 College Hills Blvd , San Angelo TX 76904-6919. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wall, Timothy Jason can be contacted via phone (214) 226-3599.

Contact Information

Primary practice address

4335 College Hills Blvd San Angelo TX 76904-6919

Phone: (214) 226-3599

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	22745	Texas

Profile Details

NPI number	1194938100
LBN Legal business name	Wall, Timothy Jason
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 7th, 2007
Last updated	Jun 10th, 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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