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Organization
DAVID E. TEITELBAUM, D.O., P.A.
Active
Organization
DAVID E. TEITELBAUM, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWARD TEITELBAUM D.O. (PRESIDENT)
(817) 335-4220
Entity
Organization
Contact information
Practice address
4455 CAMP BOWIE BLVD, SUITE 214, FORT WORTH, TX 76107-3864
(817) 335-4220
(817) 335-3171
Mailing address
4455 CAMP BOWIE BLVD, SUITE 214, FORT WORTH, TX 76107-3864
(817) 335-4220
(817) 335-3171
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G8457
TX
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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