Individual
DR. TED P. BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 COTTONWOOD LN, SUITE 105, IRVING, TX 75038-6117
(972) 607-2525
(972) 252-8837
Mailing address
1110 COTTONWOOD LN, SUITE 105, IRVING, TX 75038-6117
(972) 607-2525
(972) 252-8837
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E4807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133846909
—
TX
05
—
133846910
—
TX
05
—
133846911
—
TX
Enumeration date
07/20/2005
Last updated
07/11/2011
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