Provider Demographics
NPI:1235988361
Name:TIME SURGEONS PLLC
Entity type:Organization
Organization Name:TIME SURGEONS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:POTTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-225-8463
Mailing Address - Street 1:7210 MCPHERSON RD STE 117
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6505
Mailing Address - Country:US
Mailing Address - Phone:844-225-8463
Mailing Address - Fax:956-242-0421
Practice Address - Street 1:7210 MCPHERSON RD STE 117
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6505
Practice Address - Country:US
Practice Address - Phone:844-225-8463
Practice Address - Fax:956-242-0421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty