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Contact Information

TIMOTHY W DZIUK, MD
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX78217-4660
 Phone: 210-656-7177
 Fax: 210-656-3687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for TIMOTHY W DZIUK · (Male)

NPI Number 1073551420
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2006
Last updated 04/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H8017
  • TX Medicaid 136082812
  • TX Medicaid 136082813
  • TX Medicaid 136082814
  • TX Other 8R1430 BCBS OF TX
  • TX Other 8B9047 BLUE CROSS BLUE SHIELD
  • TX Other 920006455 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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