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Individual
MR. TIMOTHY J KING
Active
Individual
MR. TIMOTHY J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00701
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/20/2006
Last updated
04/29/2021
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