Individual
TIMOTHY LEE MCCAVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4007
(682) 885-4004
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
L8128
TX
208000000X
Pediatrics Physician
L8128
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
L8128
TX
Other
Enumeration date
04/05/2006
Last updated
04/20/2023
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