Provider Demographics
NPI:1760509871
Name:ARMSTRONG, TIMOTHY CHARLES (LICENSED ACUPUNCTURE)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:CHARLES
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:LICENSED ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 DUNCAN RD.
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-7409
Mailing Address - Country:US
Mailing Address - Phone:254-577-4880
Mailing Address - Fax:254-518-5300
Practice Address - Street 1:16 CUTLER ST UNIT 103B
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:RI
Practice Address - Zip Code:02885-2761
Practice Address - Country:US
Practice Address - Phone:140-129-2181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA00217171100000X
TXAC01759171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI31352-2Medicare UPIN