Provider Demographics
NPI:1306290598
Name:CARDER, TIMOTHY DOYLE (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:DOYLE
Last Name:CARDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21301 KUYKENDAHL RD STE J
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2614
Mailing Address - Country:US
Mailing Address - Phone:713-429-0881
Mailing Address - Fax:832-698-9568
Practice Address - Street 1:21301 KUYKENDAHL RD STE J
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2614
Practice Address - Country:US
Practice Address - Phone:713-429-0881
Practice Address - Fax:832-698-9568
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1364207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program