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Timothy Carlson
NPI 1649594581 · on the registry since 2010
Practice
- Address
- 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236 - Phone
- (210) 292-9199
- Clinicians at this address
- 598
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 122300000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas