Provider Demographics
NPI:1871390500
Name:JANAK, TIMOTHY FRANK JR (LMT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:FRANK
Last Name:JANAK
Suffix:JR
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 KATY FWY STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1450
Mailing Address - Country:US
Mailing Address - Phone:832-767-8549
Mailing Address - Fax:
Practice Address - Street 1:9525 KATY FWY STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1450
Practice Address - Country:US
Practice Address - Phone:832-767-8549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT101164225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist