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Individual
DR. TIMOTHY BOTHWELL
Active
Individual
DR. TIMOTHY BOTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H2256
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/23/2005
Last updated
09/13/2023
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