Individual
TIMOTHY R HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-5100
Mailing address
1133 JOHN FREEMAN BLVD STE JJLS80, HOUSTON, TX 77030-2809
(713) 500-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H9984
TX
208D00000X
General Practice Physician
Primary
H9984
TX
208M00000X
Hospitalist Physician
H9984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035070429
—
TX
05
—
035070430
—
TX
05
—
035070439
—
TX
01
—
035070440
TMHP-CSHCN
TX
01
—
8BQ004
BCBS
TX
01
—
8CR923
BCBS
TX
01
—
P00828165
RAILROAD MEDICARE
TX
05
—
TXB130797
—
TX
Enumeration date
06/13/2005
Last updated
10/19/2023
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