Individual provider · Type 1 NPI

Timothy Micheal York, LSA

Surgical Physician Assistant · Shenandoah, TX

NPI number 1144464249 Active

Practice location

111 Vision Park Blvd, Suite 240
Shenandoah, TX 77384-3002

Fax (281) 288-6617

Mailing address

PO Box 73024
Houston, TX 77273-3024

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XSA00411 (TX)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1144464249

Timothy Micheal York, LSA's National Provider Identifier is 1144464249, issued on Apr 21, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shenandoah, TX. The record was last updated on Feb 11, 2014.