Provider Demographics
NPI:1043637028
Name:TIMOTHY D. SHEEHAN III, MD, PA
Entity type:Organization
Organization Name:TIMOTHY D. SHEEHAN III, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:512-454-7741
Mailing Address - Street 1:1600 W 38TH ST STE 404
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6407
Mailing Address - Country:US
Mailing Address - Phone:512-454-7741
Mailing Address - Fax:512-451-7245
Practice Address - Street 1:1600 W 38TH ST STE 404
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6407
Practice Address - Country:US
Practice Address - Phone:512-454-7741
Practice Address - Fax:512-451-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN47432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty