Individual
CARLOS HERNANDO TIMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L9516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169944902
—
TX
01
—
8D1524
MEDICARE
TX
Enumeration date
04/11/2006
Last updated
05/14/2025
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