Individual
TIMOTHY LOUIS SAHAGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 CAHILL RD STE 204, BRANSON, MO 65616-1911
(417) 619-3139
Mailing address
261 QUAIL CREEK RD, ROCKWALL, TX 75032-7163
(972) 832-3659
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2018000922
MO
363LA2100X
Acute Care Nurse Practitioner
AP135400
TX
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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