Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY JAMES IMMONEN, D.O.
ActiveTIMOTHY JAMES IMMONEN, D.O. is a Maternal & Fetal Medicine healthcare provider located in FORT WORTH, Texas. NPI 1730614793 is currently active in the NPPES registry. Verify at CMS.
Maternal & Fetal Medicine · FORT WORTH, TX
Registration Details
- NPI Number
- 1730614793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2017 (9.3450448558615 yrs)
- Last Updated
- Apr 3, 2024
- Licenses
-
34.015859 (OH)5101027095 (MI)
Practice Information
- Address
-
1500 S MAIN STFORT WORTH, TX, 761044917Browse TX providers · Browse ZIP 76104
- Phone
- 8177021100
- Fax
- 8177022140
- Primary Specialty
-
Maternal & Fetal Medicine
207VM0101X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Maternal & Fetal Medicine
Other Maternal & Fetal Medicine Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| MS. TRACY ELIZABETH PAPA | DO | 1942281928 |
| JACK M GRAHAM | M.D. | 1205801347 |
| DR. BANNIE LEE TABOR | M.D. | 1992761274 |
| CHITRA MUTHUSAMY IYER | M.D | 1689884462 |
| DR. ALISON CORY WORTMAN LUNARDON | M.D. | 1790987782 |
| JENNIFER SCHULTZ HERNANDEZ | MD | 1700089950 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.