Individual
TIMOTHY R NIACARIS
Active
Individual
TIMOTHY R NIACARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
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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