TIMOT KELLERMAYER
NPI 1366145120
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since March 22, 2023
5223 INDIGO ST, HOUSTON, TX 77096(281) 685-6694 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timot Kellermayer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOT KELLERMAYER (NPI 1366145120) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1366145120
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOT KELLERMAYER
Location Address5223 INDIGO STHouston, TX 77096-1310
Mailing Address5223 Indigo StHouston, TX 77096-1310
Sole ProprietorYes
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1366145120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

5223 INDIGO ST, Houston, TX 77096

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366145120, enumerated as an "individual" on March 22, 2023.

The provider is located at 5223 INDIGO ST HOUSTON, TX 77096 and the phone number is (281) 685-6694.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.