Provider Demographics
NPI:1720582968
Name:SINGER, TIMOTHY GOODMAN
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:GOODMAN
Last Name:SINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BAYLOR PLAZA BCM 320
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-824-1173
Mailing Address - Fax:
Practice Address - Street 1:ONE BAYLOR PLAZA BCM 320
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-824-1173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program