NPI age
10 years
Enumerated 2015-06-05
● Active Type 2 · Organization
Timberlands Healthcare, Llc
Timberlands Healthcare, Llc is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Madison
Ceo
Last NPPES update
2016-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
10 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1050 E Loop 304, Suite 200
Crockett, TX 758351814
Mailing address
1 Chisholm Trl, Ste 400
Round Rock, TX 786815008
Authorized official
Jeffery Madison
Ceo
📞 5124464500
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Christopher Haeckler, MD Family Medicine NPI 1134111263
- Joseph Holcomb, DDS Dentist NPI 1942318035
- Richard Kelly, MD Family Medicine NPI 1376535419
- Ravi Konidala, MD Family Medicine NPI 1124013552
- Bryan Shaver, PA Physician Assistant NPI 1659826626
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Timberlands Clinic
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.