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NPI Code Detail

MEDICARE: TIMOTHY EDWARD FIELD M.D.

MEDICARE: TIMOTHY EDWARD FIELD M.D.
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
1207V00000XObstetrics & Gynecology PhysicianF9416TX

Other Identifiers

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

General Provider Information

NPI Number : 1457452195
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY EDWARD FIELD M.D.
Provider Business Mailing Address
First Line : 207 SULPHUR SPRINGS
Second Line :
City : BRYAN
State : TX
Zip : 77801-3134
Country : US
Telephone Number : 979-823-8101
Fax Number :
Provider Business Practice Location Address
First Line : 207 SULPHUR SPRINGS RD
Second Line :
City : BRYAN
State : TX
Zip : 77801-3134
Country : US
Telephone Number : 979-823-8101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 02/17/2011

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