Individual
TODD D PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1475
(682) 885-7520
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
M7512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188595603
—
TX
Enumeration date
05/17/2007
Last updated
04/20/2012
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