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Individual
DR. TIMOTHY P KRET
Active
Individual
DR. TIMOTHY P KRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2288TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
2288TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934564
—
TX
01
—
4502490
AETNA
TX
01
—
80813Q
BCBS GROUP #0058FC
TX
Enumeration date
05/30/2005
Last updated
08/30/2016
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