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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1619977956 NPPES
Texas MEDICAID 142764301

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