Pistocco, Timothy Bruce
Pistocco, Timothy Bruce is an individual health care provider with primary practice located at 1501 S Coulter St , Amarillo TX 79106-1770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pistocco, Timothy Bruce can be contacted via phone (806) 354-1000.Contact Information
Primary practice address
1501 S Coulter St
Amarillo TX 79106-1770
Phone: (806) 354-1000
Fax: (806) 354-1200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | H4617 | Texas |
Profile Details
| NPI number | 1609826650 |
|---|---|
| LBN Legal business name | Pistocco, Timothy Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Mar 24th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609826650 | NPPES |
| Texas | MEDICAID | 128918305 | |
| Texas | Other | 050045042 |
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