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Individual

TIMOTHY R NIACARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(682) 212-9190
(682) 212-0150
Mailing address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(682) 212-9190
(682) 212-0150

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
N9755
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
285356601
TX
01
8CW354
BCBS
TX
01
P00998012
RAILROAD MEDICARE
TX
Enumeration date
08/21/2008
Last updated
02/28/2022
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