Dombroski, Richard Todd

Dombroski, Richard Todd is an sole proprietor health care provider with primary practice located at 6913 Camp Bowie Blvd Ste 107 , Fort Worth TX 76116-7164. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Dombroski, Richard Todd can be contacted via phone (817) 367-9289.

Contact Information

Primary practice address
6913 Camp Bowie Blvd Ste 107 Fort Worth TX 76116-7164
Phone: (817) 367-9289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q3358 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X Q3358 Texas
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X Q3358 Texas

Profile Details

NPI number 1144209552
LBN Legal business name Dombroski, Richard Todd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Aug 18th, 2020 - about 5 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 1144209552 NPPES
Texas Other 8FA812 BCBS
Texas Other P01609114 BCBS
Texas MEDICAID 344044804 BCBS
Texas Other 8FA814 BCBS
Texas MEDICAID 344044801 BCBS

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