Powell, Ted Blake

Powell, Ted Blake is an individual health care provider with primary practice located at 1600 Hospital Parkway , Bedford TX 76022-6913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Powell, Ted Blake can be contacted via phone (214) 638-2000.

Contact Information

Primary practice address
1600 Hospital Parkway Bedford TX 76022-6913
Phone: (214) 638-2000
Fax: (214) 631-6724
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G8949 Texas

Profile Details

NPI number 1003824483
LBN Legal business name Powell, Ted Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Oct 1st, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003824483 NPPES
Texas Other 83P491 BCBS
Texas MEDICAID 102314501 BCBS
Texas Other 220017764 BCBS

Popular Providers