Individual provider · Type 1 NPI

Timothy Estrada

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1972298404 Active

Practice location

1 Dogwood Ave
Johnson City, TN 37614

Call (423) 439-6210 Map

Mailing address

307 Bandolina Dr
Socorro, TX 79927-1446

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972298404

Timothy Estrada's National Provider Identifier is 1972298404, issued on Apr 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Apr 10, 2023.