Individual
DR. MATTHEW DAVID TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST STOP 7260, LUBBOCK, TX 79430-0816
(806) 743-1810
Mailing address
1215 LEE ST, BOX 800422, CHARLOTTESVILLE, VA 22908-0816
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
R6696
TX
Other
Enumeration date
04/06/2011
Last updated
12/03/2021
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