Bronson, Ted P.

Bronson, Ted P. is an individual health care provider with primary practice located at 1110 Cottonwood Ln Suite 105, Irving TX 75038-6117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bronson, Ted P. can be contacted via phone (972) 607-2525.

Contact Information

Primary practice address
1110 Cottonwood Ln Suite 105 Irving TX 75038-6117
Fax: (972) 252-8837
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E4807 Texas

Profile Details

NPI number 1982603916
LBN Legal business name Bronson, Ted P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982603916 NPPES
Texas MEDICAID 133846909
Texas MEDICAID 133846911
Texas MEDICAID 133846910

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