Individual
DR. TIMOTHY CHAD MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS015223
PA
207VX0201X
Gynecologic Oncology Physician
OT013710
PA
207VX0201X
Gynecologic Oncology Physician
Primary
P6032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024859880001
—
PA
01
—
1590832
GATEWAY-WMG
PA
01
—
2516221
HIGHMARK BLUE SHIELD-WMG
PA
01
—
30077866
AMERIHEALTH MERCY-WMG
PA
01
—
307945
UNISON-WMG
PA
01
—
415272
UMPC-WMG
PA
01
—
968832
CAREFIRST MD BCBS-WMG
PA
Enumeration date
01/30/2007
Last updated
01/28/2022
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