Individual
MR. TIMOTHY SHAWN DEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
204 DEERCREEK LANE, SUITE 1550, LEANDER, TX 78641
(512) 557-6433
(512) 337-3750
Mailing address
204 DEERCREEK LN, LEANDER, TX 78641-7819
(512) 557-6433
(512) 337-3750
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
87458
TX
246ZS0410X
Surgical Technologist
87458
TX
Other
Enumeration date
08/05/2007
Last updated
11/12/2015
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