Individual
DR. TIMOTHY J. MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 FANNIN ST, HOUSTON, TX 77030-1521
(713) 486-9400
Mailing address
6400 FANNIN ST, HOUSTON, TX 77030-1521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A60994
CA
207W00000X
Ophthalmology Physician
D73128
MD
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
T2801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A609940
—
CA
Enumeration date
07/14/2006
Last updated
10/04/2021
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