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
Phone: (972) 607-2525
Fax: (972) 252-8837
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982603916 | NPPES |
| Texas | MEDICAID | 133846909 | |
| Texas | MEDICAID | 133846911 | |
| Texas | MEDICAID | 133846910 |
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