Provider Demographics
NPI:1245212455
Name:BEST, TIMOTHY R (MD)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:R
Last Name:BEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 DR. MICHAEL DEBAKEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5728
Mailing Address - Country:US
Mailing Address - Phone:337-433-0762
Mailing Address - Fax:337-433-4868
Practice Address - Street 1:707 DR. MICHAEL DEBAKEY DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5728
Practice Address - Country:US
Practice Address - Phone:337-433-0762
Practice Address - Fax:337-433-4868
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07327R2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1554375Medicaid
LA1554375Medicaid
5H0717460Medicare PIN
LA5H071C529Medicare PIN
130022272Medicare PIN