Individual
DR. THEODORE ANDREW BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3164 HORIZON RD, SUITE 100, ROCKWALL, TX 75032-7805
(972) 772-8767
(972) 772-8780
Mailing address
PO BOX 262409, PLANO, TX 75026-2409
(972) 772-8767
(972) 473-3929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2003-00556
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
2006-00556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134HW
—
NC
Enumeration date
11/22/2005
Last updated
01/14/2016
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