Individual
DR. MERRITT BONAR TEDDLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7830 MEADOW PARK DR, 108, DALLAS, TX 75230-4942
(214) 460-9132
Mailing address
7830 MEADOW PARK DR, 108, DALLAS, TX 75230-4942
(214) 460-9132
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C8467
TX
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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