Provider Demographics
NPI:1144280579
Name:TIMM, JOSEFINE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEFINE
Middle Name:
Last Name:TIMM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WEST LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-1007
Mailing Address - Country:US
Mailing Address - Phone:713-627-8466
Mailing Address - Fax:713-623-2948
Practice Address - Street 1:21 WEST LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-1007
Practice Address - Country:US
Practice Address - Phone:713-627-8466
Practice Address - Fax:713-623-2948
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG93142085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE18117Medicare UPIN