Margo, Theodore Edward

Margo, Theodore Edward is an individual health care provider with primary practice located at 1201 Summit Ave , Fort Worth TX 76102-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Margo, Theodore Edward can be contacted via phone (817) 332-2020.

Contact Information

Primary practice address
1201 Summit Ave Fort Worth TX 76102-4427
Phone: (817) 332-2020
Fax: (817) 332-4797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X H8231 Texas

Profile Details

NPI number 1780680892
LBN Legal business name Margo, Theodore Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated May 13th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780680892 NPPES
Texas MEDICAID 132407101
Texas Other 88Z900

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