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
Phone: (817) 877-3432
Fax: (817) 346-4394
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265473466 | NPPES |
| Texas | MEDICAID | 080486601 | |
| Texas | Other | 80093Y | |
| Texas | MEDICAID | 137134612 |
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