Individual
STEPHEN JAY TIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 W LYNDON B JOHNSON FWY, SUITE 330, IRVING, TX 75063-3707
(972) 556-2885
(972) 506-8733
Mailing address
400 W LYNDON B JOHNSON FWY, SUITE 330, IRVING, TX 75063-3707
(972) 556-2885
(972) 506-8733
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L7224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8R0560
—
TX
Enumeration date
12/12/2006
Last updated
07/16/2007
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