# TIMBERLAND MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023790045
- **Authorized official:** JENNIFER L JACKSON (SNR DIRECTOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-3334

## Contact information

- **Practice address:** 1301 MEDICAL PKWY STE 140, CEDAR PARK, TX 78613-2529
- **Practice address phone:** (512) 379-3660
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 778-8196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2023
- **Last updated:** 08/01/2023