Dziuk, Timothy Wayne

Dziuk, Timothy Wayne is an individual health care provider with primary practice located at 2130 Ne Loop 410 Ste 100 , San Antonio TX 78217-4660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Dziuk, Timothy Wayne can be contacted via phone (210) 656-7177.

Contact Information

Primary practice address
2130 Ne Loop 410 Ste 100 San Antonio TX 78217-4660
Phone: (210) 656-7177
Fax: (210) 656-3687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X H8017 Texas

Profile Details

NPI number 1073551420
LBN Legal business name Dziuk, Timothy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 6th, 2016 - about 10 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 1073551420 NPPES
Texas Other 8B9047 BLUE CROSS BLUE SHIELD
Texas Other 920006455 BLUE CROSS BLUE SHIELD
Texas MEDICAID 136082812 BLUE CROSS BLUE SHIELD
Texas MEDICAID 136082814 BLUE CROSS BLUE SHIELD
Texas MEDICAID 136082813 BLUE CROSS BLUE SHIELD
Texas Other 8R1430 BLUE CROSS BLUE SHIELD

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