Individual
MR. TIMOTHY JAMES DEAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 IH 45 S, SUITE B, HUNTSVILLE, TX 77340-4958
(936) 291-2557
(936) 291-2688
Mailing address
260 IH 45 S, SUITE B, HUNTSVILLE, TX 77340-4958
(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
07/26/2005
Last updated
04/13/2012
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