Individual
TIMOTHY ELEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 COMMERCE ST APT 2317, DALLAS, TX 75202-4383
(225) 220-3820
Mailing address
1222 COMMERCE ST APT 2317, DALLAS, TX 75202-4383
(225) 220-3820
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
44563564
TX
344600000X
Taxi
44563564
TX
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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