Ronald Lewis Proctor in Carrollton - General Practice

Ronald Lewis Proctor - NPI 1881691459

Ronald Lewis Proctor is a General Practice in Carrollton, Texas. Ronald Lewis Proctor practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ronald Lewis Proctor is 1881691459. The last update date is 2007-07-08.

Ronald Lewis Proctor's current location address is 3740 N Josey Ln, Carrollton, Texas. You can contact this provider via phone number 9724922866 and fax number 9723940583. The mailing address for Ronald Lewis Proctor is 3740 N Josey Ln, Carrollton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Lewis Proctor
Address 3740 N Josey Ln, Carrollton, Texas
Phone Number 9724922866
Fax Number 9723940583
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1881691459
Provider Enumeration Date 2005-06-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3740 N Josey Ln
City Carrollton
State Texas (TX)
Post Code 750072471
Phone Number 9724922866
Fax Number 9723940583

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 10344
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CM76 TX BCBS
742084 UNITED CONCORDIA

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FAQs about Ronald Lewis Proctor

What is the unique identifier code issued to Ronald Lewis Proctor by the Centers for Medicare & Medicaid Services (CMS)?

The Ronald Lewis Proctor has been assigned the NPI (National Provider Identifier) 1881691459. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Ronald Lewis Proctor's facilities are geographically located?

The facilities of Ronald Lewis Proctor are physically situated at the following location: 3740 N Josey Ln, Carrollton, TX, 750072471.

What is Ronald Lewis Proctor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ronald Lewis Proctor's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did the Ronald Lewis Proctor receive the assignment of its 1881691459 from the Centers for Medicare & Medicaid Services?

The Ronald Lewis Proctor was issued its 1881691459 by the Centers for Medicare & Medicaid Services on 2005-06-28.

As of what date were the details pertaining to Ronald Lewis Proctor last refreshed?

The information related to the Ronald Lewis Proctor, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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