Individual
TIMOTHY TAMIM KHATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5109 80TH ST, LUBBOCK, TX 79424
(806) 792-5900
(806) 792-6092
Mailing address
5109 80TH ST, LUBBOCK, TX 79424-3017
(806) 792-5900
(806) 792-6092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K3276
TX
207WX0120X
Cornea and External Diseases Specialist Physician
K3276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092254403
—
TX
01
—
180036465
RAILROAD MEDICARE
—
Enumeration date
06/10/2005
Last updated
06/27/2019
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