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Individual

DR. TIMOTHY LAWRENCE KNUTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3875 E SOUTHCROSS BLVD, SUITE C, SAN ANTONIO, TX 78222-3521
(210) 333-7405
(210) 333-7451
Mailing address
3875 E SOUTHCROSS BLVD, SUITE C, SAN ANTONIO, TX 78222-3521
(210) 333-7405
(210) 333-7451

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0764
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018799901
TX
Enumeration date
04/08/2007
Last updated
06/19/2008
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