Provider Demographics
NPI:1477569424
Name:DUNHAM, TIMITHY M (MD)
Entity Type:Individual
Prefix:
First Name:TIMITHY
Middle Name:M
Last Name:DUNHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7400 LOUIS PASTEUR DR
Mailing Address - Street 2:STE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4542
Mailing Address - Country:US
Mailing Address - Phone:210-614-3333
Mailing Address - Fax:210-697-9952
Practice Address - Street 1:7400 LOUIS PASTEUR DR
Practice Address - Street 2:STE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4542
Practice Address - Country:US
Practice Address - Phone:210-614-3333
Practice Address - Fax:210-697-9952
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2017-01-12
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Provider Licenses
StateLicense IDTaxonomies
TXG2532207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology