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Organization
TIMBERLAND MEDICAL GROUP
Active
Organization
TIMBERLAND MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
1401 MEDICAL PKWY, CEDAR PARK, TX 78613-7763
(512) 528-7227
(512) 528-7223
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7042
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044JK
BLUE CROSS-BLUE SHIELD
TX
01
—
0074DQ
BCBS
TX
05
—
080580601
—
TX
05
—
080580602
—
TX
Enumeration date
05/27/2005
Last updated
01/21/2025
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