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Individual
MR. JUSTIN HILLARY TIMMONS
Active
Individual
MR. JUSTIN HILLARY TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
678709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194368005
—
TX
05
—
194368010
—
TX
01
—
810717
MEDICARE
TX
01
—
810736
MEDICARE
TX
01
—
8KU823
BCBS
TX
01
—
8KZ659
BCBS
TX
01
—
P02270214
MEDICARE RAIL ROAD
TX
01
—
P02270236
MEDICARE RAIL ROAD
TX
Enumeration date
05/29/2007
Last updated
09/11/2019
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