Davis, Timothy C

Davis, Timothy C is an individual health care provider with primary practice located at 104 S Park Dr , Brownwood TX 76801-5918. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Davis, Timothy C can be contacted via phone (325) 646-0704.

Contact Information

Primary practice address
104 S Park Dr Brownwood TX 76801-5918
Phone: (325) 646-0704
Fax: (325) 646-1513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 582080 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 582080 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 582080 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 582080 Texas

Profile Details

NPI number 1326153198
LBN Legal business name Davis, Timothy C
Credentials RN,PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 28th, 2012 - about 13 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 1326153198 NPPES
Texas MEDICAID 1742694

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