Teitelbaum, David Edward

Teitelbaum, David Edward is an individual health care provider with primary practice located at 4455 Camp Bowie Blvd Suite 214, Fort Worth TX 76107-3864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Teitelbaum, David Edward can be contacted via phone (817) 335-4220.

Contact Information

Primary practice address
4455 Camp Bowie Blvd Suite 214 Fort Worth TX 76107-3864
Phone: (817) 335-4220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X G8457 Texas

Profile Details

NPI number 1366498438
LBN Legal business name Teitelbaum, David Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1366498438 NPPES
Texas MEDICAID P000GQ538

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