Zemanuel, Theodros M

Zemanuel, Theodros M is an individual health care provider with primary practice located at 11807 South Fwy Ste 363 , Burleson TX 76028-7045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Zemanuel, Theodros M can be contacted via phone (817) 806-1143.

Contact Information

Primary practice address
11807 South Fwy Ste 363 Burleson TX 76028-7045
Fax: (817) 806-1144
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X T5709 Texas

Profile Details

NPI number 1700379740
LBN Legal business name Zemanuel, Theodros M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated May 30th, 2023 - about 2 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 1700379740 NPPES
Other 8SM603 BCBS
MEDICAID 1700379740 BCBS

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