| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SARA MITTASCH TIMMERMANN | 1053755694 | 2024-07-05 |
Sara Mittasch Clayton [F] graduated in 2013 from University Of Texas Medical School At San Antonio and primarily specializes in Diagnostic Radiology.
Sara Mittasch Timmermann is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053755694. Registration indicates Sara Mittasch Timmermann is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 9931434974 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Sara Mittasch Timmermann M.D. |
| Other Provider Name | Dr. Sara Mittasch Koenig |
| Practice Office Address | 3551 ROGER BROOKE DR JBSA FT SAM HOU, TX US |
| Practice Office Telephone | 2109164188 |
| Mailing Address | 7703 FLOYD CURL DR SAN ANTONIO, TX 782293901 US |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | R0047
TX |