Individual
DR. TIMOTHY WILLIAM TEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 291-6194
(903) 291-6195
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
S4404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381657102
—
TX
Enumeration date
02/27/2009
Last updated
02/23/2021
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