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Individual

DR. TIMOTHY R SHUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
U2015
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
U2015
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
U2015
TX

Other

Enumeration date
06/09/2018
Last updated
03/25/2024
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