DR. MERRITT BONAR TEDDLIE (NPI# 1720427057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720427057 |
Entity Type | Individual |
Full Name | DR. MERRITT BONAR TEDDLIE |
Credential | MD |
Practice Address |
7830 Meadow Park Dr 108 Dallas TX 75230-4942 |
Practice Telephone | 2144609132 |
Mailing Telephone | 2144609132 |
Enumeration Date | 2013-06-20 |
Last Update Date | 2013-06-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | C8467 | TX | Allopathic & Osteopathic Physicians |
Street Address |
7830 MEADOW PARK DR 108 |
City | DALLAS |
State | TX |
Zip Code | 75230-4942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
Find all providers in zip 75230 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619577392 | Best Americare Visiting Doctors, Inc. | General Practice | 13601 Preston Rd Ste 706w, Dallas, TX 75240-5361 | 2020-10-30 |
1659978401 | Instaclinic, LLC | General Practice | 7008 Quartermile Ln, Dallas, TX 75248-1448 | 2020-10-05 |
1194345959 | Medplus Physician Group Inc. | General Practice | 8585 N Stemmons Fwy Ste S-105, Dallas, TX 75247-3836 | 2020-04-22 |
1598397937 | Jennifer Renee Palomares | General Practice | 12221 Merit Dr Ste 350, Dallas, TX 75251-3233 | 2020-02-04 |
1902449333 | Strategic Binary Solutions LLC | General Practice | 13030 Audelia Rd, 2190, Dallas, TX 75243-2471 | 2019-10-17 |
1922542075 | Liferestore Md Usa LLC | General Practice | 3910 Gaston Ave Ste 140, Dallas, TX 75246-1523 | 2016-12-08 |
1275996860 | Doorstep Procare Management LLC | General Practice | 12035 Shiloh Rd Ste 310, Dallas, TX 75228-1507 | 2016-03-31 |
1023490661 | Adjust Physical Medicine Pllc | General Practice | 13450 Inwood Rd Ste 100, Dallas, TX 75244-5324 | 2015-06-19 |
1679983480 | Nathaniel Ott | General Practice | 810 Turner Ave, Dallas, TX 75208-3737 | 2014-05-01 |
1871833673 | Thomas Boone Fisher | General Practice | 6931 Azalea Ln, Dallas, TX 75230-3565 | 2013-02-15 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.