Crofford, Theodore W

Crofford, Theodore W is an individual health care provider with primary practice located at 6301 Harris Pkwy Ste 300 , Fort Worth TX 76132-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Crofford, Theodore W can be contacted via phone (817) 877-3432.

Contact Information

Primary practice address
6301 Harris Pkwy Ste 300 Fort Worth TX 76132-4245
Fax: (817) 346-4394
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X H0273 Texas

Profile Details

NPI number 1265473466
LBN Legal business name Crofford, Theodore W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 27th, 2014 - about 10 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 1265473466 NPPES
Texas MEDICAID 080486601
Texas Other 80093Y
Texas MEDICAID 137134612

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