Timothy P Oltersdorf in Fort Worth - Diagnostic Radiology
Timothy P Oltersdorf - NPI 1134128424
Timothy P Oltersdorf is a Diagnostic Radiology in Fort Worth, Texas. Timothy P Oltersdorf practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Timothy P Oltersdorf is 1134128424. The last update date is 2014-03-31.
Timothy P Oltersdorf's current location address is 1101 6th Ave, Fort Worth, Texas. You can contact this provider via phone number 8173364638 and fax number 8178700278. The mailing address for Timothy P Oltersdorf is 1101 6th Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy P Oltersdorf |
|---|---|
| Address | 1101 6th Ave, Fort Worth, Texas |
| Phone Number | 8173364638 |
| Fax Number | 8178700278 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134128424 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2014-03-31 |
Provider Mailing Address Detail
| Address | 1101 6th Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044377 |
| Phone Number | 8173364638 |
| Fax Number | 8178700278 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | F8973 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124446902 | TX | -- |
Post Comment/ Review Below
What is the Timothy P Oltersdorf's 1134128424?
The Timothy P Oltersdorf's NPI (National Provider Identifier) Number is 1134128424. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy P Oltersdorf's facilities are situated?
The facilities of Timothy P Oltersdorf are physically located at the following address: 1101 6Th Ave, Fort Worth, TX, 761044377.
What is the Timothy P Oltersdorf's specialty and taxonomy code?
The Timothy P Oltersdorf's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did Timothy P Oltersdorf receive its 1134128424 assignment from the Centers for Medicare & Medicaid Services?
The Timothy P Oltersdorf was assigned its 1134128424 on 2005-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Timothy P Oltersdorf, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy P Oltersdorf, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-31.