Ted L Carelock in Fort Worth - Diagnostic Radiology

Ted L Carelock - NPI 1972502367

Ted L Carelock is a Diagnostic Radiology in Fort Worth, Texas. Ted L Carelock practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ted L Carelock is 1972502367. The last update date is 2012-08-15.

Ted L Carelock's current location address is 816 W Cannon St, Fort Worth, Texas. You can contact this provider via phone number 8173210312 and fax number 8173177033. The mailing address for Ted L Carelock is 816 W Cannon St, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted L Carelock
Address 816 W Cannon St, Fort Worth, Texas
Phone Number 8173210312
Fax Number 8173177033
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1972502367
Provider Enumeration Date 2005-07-18
Last Updated Date 2012-08-15

Provider Mailing Address Detail

Address 816 W Cannon St
City Fort Worth
State Texas (TX)
Post Code 761043146
Phone Number 8173210312
Fax Number 8173177033

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No D3992
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
134129909 TX --
1341299-11 TX --
134129906 TX --

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FAQs about Ted L Carelock

What is the unique 10-digit identifier code issued to Ted L Carelock by the Centers for Medicare & Medicaid Services?

The Ted L Carelock has been assigned the NPI (National Provider Identifier) 1972502367 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Ted L Carelock is physically located?

The Ted L Carelock is situated at the following address: 816 W Cannon St, Fort Worth, TX 761043146.

What is the Ted L Carelock's area of specialization and corresponding taxonomy classification?

The Ted L Carelock's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

When did the Ted L Carelock receive its 1972502367?

The Ted L Carelock was issued its 1972502367 on 2005-07-18, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Ted L Carelock most recently updated or revised?

The details related to Ted L Carelock, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-15.

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