Theodore Willis Laetsch in Dallas - Pediatric Hematology-oncology
Theodore Willis Laetsch - NPI 1154477834
Theodore Willis Laetsch is a Pediatric Hematology-oncology in Dallas, Texas. Theodore Willis Laetsch practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Theodore Willis Laetsch is 1154477834. The last update date is 2021-09-22.
Theodore Willis Laetsch's current location address is Po Box 845347, Dallas, Texas. You can contact this provider via phone number 2146483903 and fax number 2146482481. The mailing address for Theodore Willis Laetsch is Po Box 845347, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Willis Laetsch |
|---|---|
| Address | Po Box 845347, Dallas, Texas |
| Phone Number | 2146483903 |
| Fax Number | 2146482481 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154477834 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2021-09-22 |
Provider Mailing Address Detail
| Address | Po Box 845347 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752845347 |
| Phone Number | 2146483903 |
| Fax Number | 2146482481 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | MD436327 |
|
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13339796 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Theodore Willis Laetsch?
The Theodore Willis Laetsch has been issued the NPI (National Provider Identifier) 1154477834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Theodore Willis Laetsch is geographically located?
The Theodore Willis Laetsch is physically situated at the following location: Po Box 845347, Dallas, TX, 752845347.
What is Theodore Willis Laetsch's area of expertise and its corresponding taxonomy classification?
The Theodore Willis Laetsch's field of specialization is Pediatric Hematology-oncology, and it falls under the taxonomy code 2080P0207X, which categorizes healthcare providers based on their areas of practice.
On what date did the Theodore Willis Laetsch receive its 1154477834 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Willis Laetsch was assigned its 1154477834 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information regarding Theodore Willis Laetsch most recently updated?
The details pertaining to the Theodore Willis Laetsch, including its address, specialty, and other relevant information, were last refreshed on 2021-09-22.