MEDICARE: MRS. KATHERINE S TIMMINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	J1579	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205854759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE S TIMMINS MD

Provider Business Mailing Address
First Line	:	8876 GULF FWY
Second Line	:	STE 215
City	:	HOUSTON
State	:	TX
Zip	:	77017-6513
Country	:	US
Telephone Number	:	713-947-9509
Fax Number	:	713-947-0609

Provider Business Practice Location Address
First Line	:	8876 GULF FWY
Second Line	:	STE 215
City	:	HOUSTON
State	:	TX
Zip	:	77017-6513
Country	:	US
Telephone Number	:	713-947-9509
Fax Number	:	713-947-0609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/03/2012

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