Provider Demographics
NPI:1043782907
Name:TIMOTHY C. PRINGLE MD PA
Entity Type:Organization
Organization Name:TIMOTHY C. PRINGLE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:DIONNE
Authorized Official - Last Name:PRINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-906-1055
Mailing Address - Street 1:4541 N. JOSEY LANE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010
Mailing Address - Country:US
Mailing Address - Phone:972-906-1055
Mailing Address - Fax:972-956-0815
Practice Address - Street 1:4541 N. JOSEY LANE
Practice Address - Street 2:SUITE 140
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010
Practice Address - Country:US
Practice Address - Phone:972-906-1055
Practice Address - Fax:972-956-0815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty