Individual
JOE M TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1106 ALSTON AVE STE 201, FORT WORTH, TX 76104-4644
(817) 921-3461
(817) 921-5602
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 921-5602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E4723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031880002
—
TX
01
—
200046251
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
06/02/2014
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