Individual
TIMOTHY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6320 SOUTHWEST BLVD STE 207, BENBROOK, TX 76109-6961
(817) 735-4430
Mailing address
6320 SOUTHWEST BLVD STE 207, BENBROOK, TX 76109-6961
(817) 735-4430
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S0831
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
09/17/2021
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