Provider Demographics
NPI:1548883036
Name:TIMELY MEDICAL CARE PLLC
Entity type:Organization
Organization Name:TIMELY MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:OGBONNA
Authorized Official - Last Name:ANEKE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-210-0690
Mailing Address - Street 1:11869 TOPPELL TRL
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-1509
Mailing Address - Country:US
Mailing Address - Phone:972-210-0690
Mailing Address - Fax:757-767-7905
Practice Address - Street 1:11869 TOPPELL TRL
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-1509
Practice Address - Country:US
Practice Address - Phone:972-210-0690
Practice Address - Fax:757-767-7905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty