Freeman, Theodore Monroe
Freeman, Theodore Monroe is an individual health care provider with primary practice located at 2833 Babcock Rd Suite 304, San Antonio TX 78229-5390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Freeman, Theodore Monroe can be contacted via phone (210) 614-7594.Contact Information
Primary practice address
2833 Babcock Rd Suite 304
San Antonio TX 78229-5390
Phone: (210) 614-7594
Fax: (210) 614-3391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | H7145 | Texas |
Profile Details
| NPI number | 1619977956 |
|---|---|
| LBN Legal business name | Freeman, Theodore Monroe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Feb 27th, 2017 - about 9 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 | 1619977956 | NPPES |
| Texas | MEDICAID | 142764301 |
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