TIMMY NOVAK

FORT WORTH, TX
NPI1679914188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA08652)
Enumeration Date2013-07-12
Last Update Date2016-05-17
Business Address
-- TIMMY NOVAK
1661 EASTCHASE PKWY
FORT WORTH, TX 76120-4407
Phone number: 817-459-2005
Mailing Address
-- TIMMY NOVAK
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500