# RONALD G. BRISTOW, M.D. AND ASSOC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467766790
- **Authorized official:** DR. RONALD GRIFFITH BRISTOW M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (214) 328-8200

## Contact information

- **Practice address:** 1110 N BUCKNER BLVD, SUITE 103, DALLAS, TX 75218-3487
- **Practice address phone:** (214) 328-8200
- **Practice address fax:** (214) 328-1332
- **Mailing address:** 1110 N BUCKNER BLVD, SUITE 103, DALLAS, TX 75218-3487
- **Mailing address phone:** (214) 328-8200
- **Mailing address fax:** (214) 328-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | E3217 | TX | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 12/06/2011