Individual provider · Type 1 NPI

Michael T. Timm, PA-C

Surgical Physician Assistant · Plano, TX

NPI number 1053462978 Active

Practice location

1504 Huron Trl
Plano, TX 75075-6824

Call (214) 227-2457 Map

Fax (214) 764-0880

Mailing address

PO Box 2550
Rowlett, TX 75030-2550

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00975 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1053462978

Michael T. Timm, PA-C's National Provider Identifier is 1053462978, issued on Jan 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plano, TX. The record was last updated on Jul 2, 2020.