Provider Demographics
NPI:1285625129
Name:LA VOY, TIMOTHY ALLEN (P A C)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ALLEN
Last Name:LA VOY
Suffix:
Gender:
Credentials:P A C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 CLARKSVILLE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6089
Mailing Address - Country:US
Mailing Address - Phone:903-785-4362
Mailing Address - Fax:903-782-9365
Practice Address - Street 1:1128 CLARKSVILLE ST STE 100
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-6089
Practice Address - Country:US
Practice Address - Phone:903-785-4362
Practice Address - Fax:903-782-9365
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06187363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282044137Medicaid