Organization
TIMOTHY J. DEAHL M.D.,P.A.
Active
Other names
Timothy J. Deahl M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J. DEAHL M.D. (PHYSICIAN)
(936) 291-2557
Entity
Organization
Contact information
Practice address
260 IH 45 S, STE B, HUNTSVILLE, TX 77340-4968
(936) 291-2557
(936) 291-2688
Mailing address
260 IH 45 S, STE B, HUNTSVILLE, TX 77340-4968
(936) 291-2557
(936) 291-2688
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131686101
—
TX
Enumeration date
02/14/2012
Last updated
02/14/2012
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