Individual
DR. RONALD LEWIS PROCTOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3740 N JOSEY LN, STE 121, CARROLLTON, TX 75007-2471
(972) 492-2866
(972) 394-0583
Mailing address
3740 N JOSEY LN, STE 121, CARROLLTON, TX 75007-2471
(972) 492-2866
(972) 394-0583
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742084
UNITED CONCORDIA
—
01
—
CM76
BCBS
TX
Enumeration date
06/28/2005
Last updated
07/08/2007
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