Niacaris, Timothy R

Niacaris, Timothy R is an individual health care provider with primary practice located at 902 W Randol Mill Rd Ste 120 , Arlington TX 76012-2579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Niacaris, Timothy R can be contacted via phone (682) 212-9190.

Contact Information

Primary practice address
902 W Randol Mill Rd Ste 120 Arlington TX 76012-2579
Phone: (682) 212-9190
Fax: (682) 212-0150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X N9755 Texas

Profile Details

NPI number 1700033743
LBN Legal business name Niacaris, Timothy R
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Feb 28th, 2022 - about 4 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 1700033743 NPPES
Texas Other 8CW354 BCBS
Texas Other P00998012 BCBS
Texas MEDICAID 285356601 BCBS

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