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Individual

TIMOTHY MCDOUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
1801 ROYAL LN STE 908, DALLAS, TX 75229-7502
(281) 346-3480
(281) 462-4106
Mailing address
PO BOX 75256, CHICAGO, IL 60675-5256
(281) 346-3480
(281) 462-4106

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
02/08/2022
Last updated
02/08/2022
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