Provider Demographics
NPI:1710248489
Name:HOWELL, TIM C (CPO,LPO)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:C
Last Name:HOWELL
Suffix:
Gender:M
Credentials:CPO,LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 N SAM HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4434
Mailing Address - Country:US
Mailing Address - Phone:432-337-8880
Mailing Address - Fax:432-337-8887
Practice Address - Street 1:623 N SAM HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4434
Practice Address - Country:US
Practice Address - Phone:432-337-8880
Practice Address - Fax:432-337-8887
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist