Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | H4706 | TX |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | H4706 | TX |
NPI | 1104813252 |
---|---|
Provider Name | Timothy Christian Sitter |
First Address | Sugar Land, TX 77479-4728 |
Second Address | Sugar Land, TX 77479-4728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 10/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129239306 | (05) | TX |
129239307 | (05) | TX |
129239308 | (05) | TX |
129239309 | (05) | TX |
129239311 | (05) | TX |
610119705 | US DEPT OF LABOR (01) | TX |
8BP172 | BLUE CROSS BLUE SHIELD (01) | TX |
F50251 | (02) | TX |
P00734625 | RAILROAD MEDICARE (01) | TX |
P01055724 | RR MEDICARE (01) | TX |