Individual
DR. TIMI SENA-KOLA TUAMOKUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4003 113TH ST, LUBBOCK, TX 79423
(352) 246-6385
Mailing address
3410 98TH ST STE 4-143, LUBBOCK, TX 79423-3847
(352) 246-6385
(806) 853-8572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN11559
FL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N8864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196491100
FIRSTCARE
TX
05
—
282249601
—
TX
05
—
31100732
—
NM
01
—
8CV647
BCBS
TX
Enumeration date
06/29/2007
Last updated
07/01/2019
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