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Timothy James Immonen, DO
Maternal & Fetal Medicine Physician in Fort Worth, Texas
NPI 1730614793

Timothy James Immonen is a Maternal & Fetal Medicine Physician based in Dallas, TX and is specialized in Maternal & Fetal Medicine. Timothy James Immonen practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Timothy James Immonen is 1730614793 and holds a License No. 34.015859 (Texas).

The current practice location address for Timothy James Immonen is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-1100 and via fax at 817-702-2140.

Location: 1500 S Main St, Fort Worth, TX, 75373-6901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730614793
Provider Name
Timothy James Immonen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 75373-6901
Phone Number
817-702-1100
Fax Number
817-702-2140
Provider Enumeration Date
04/27/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1100
Fax Number
817-702-2140
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1100
Fax Number
817-702-2140
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5101027095 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Maternal & Fetal Medicine
Taxonomy
207VM0101X
License No.
()
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
34.015859 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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