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Individual
DR. TIMOTHY JON TWADDELL
Active
Individual
DR. TIMOTHY JON TWADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L6689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161132901
—
TX
05
—
161132907
—
TX
01
—
8S9668
BCBS
TX
01
—
P01624137
RR MEDICARE
TX
Enumeration date
06/22/2006
Last updated
08/04/2022
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