Provider Demographics
NPI:1205854759
Name:TIMMINS, KATHERINE S (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:S
Last Name:TIMMINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8876 GULF FWY
Mailing Address - Street 2:STE 215
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6513
Mailing Address - Country:US
Mailing Address - Phone:713-947-9509
Mailing Address - Fax:713-947-0609
Practice Address - Street 1:8876 GULF FWY
Practice Address - Street 2:STE 215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6513
Practice Address - Country:US
Practice Address - Phone:713-947-9509
Practice Address - Fax:713-947-0609
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1579207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093668401Medicaid
TX093668401Medicaid
TX80X198Medicare PIN