Individual ProviderTimothy J KingRegistered NurseNursing Service ProvidersPractice Address6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Timothy J King does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255924551Provider TypeIndividualFull NameKing, Timothy JCredentialRNGenderMaleSole ProprietorNoEnumeration Date2/17/2021Last Updated2/17/2021Contact InformationPractice LocationPractice Address6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense941541Texas