Organization
DAVID E. TEITELBAUM, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWARD TEITELBAUM D.O. (PRESIDENT)
(817) 335-4220
Entity
Organization
Contact information
Practice address
4455 CAMP BOWIE BLVD, SUITE 214, FORT WORTH, TX 76107-3864
(817) 335-4220
(817) 335-3171
Mailing address
4455 CAMP BOWIE BLVD, SUITE 214, FORT WORTH, TX 76107-3864
(817) 335-4220
(817) 335-3171
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G8457
TX
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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