Provider Demographics
NPI:1336185461
Name:MCGUIRE, TIMOTHY CHRISTIAN (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:CHRISTIAN
Last Name:MCGUIRE
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 1:2900 N INTERSTATE 35 STE 302
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5151
Mailing Address - Country:US
Mailing Address - Phone:940-565-9118
Mailing Address - Fax:940-383-2512
Practice Address - Street 1:2900 N INTERSTATE 35 STE 302
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5151
Practice Address - Country:US
Practice Address - Phone:940-565-9118
Practice Address - Fax:940-383-2512
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097198803Medicaid
TX097198803Medicaid
TXC19160Medicare UPIN