Individual
TIMMIE TYRONE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1828 SANDY POINT RD APT 4206, BRYAN, TX 77807-8214
(979) 383-3481
Mailing address
1828 SANDY POINT RD APT 4206, BRYAN, TX 77807-8214
(979) 383-3481
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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