Individual
ROGER TIMPERLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-4320
(361) 694-4065
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(361) 288-2222
(361) 884-1912
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J3635
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
J3635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138326707
—
TX
Enumeration date
04/19/2006
Last updated
07/13/2022
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