Individual
DR. THEODORE DENVER COONROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2710 HOSPITAL DR, VICTORIA, TX 77901-5701
(361) 575-0636
Mailing address
2710 HOSPITAL DR, VICTORIA, TX 77901-5701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A23981
CA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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