Individual
DR. DENNIS DUANE TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 E FELT ST, BROWNFIELD, TX 79316-3439
(806) 637-1955
(806) 637-2169
Mailing address
3411 UNIVERSITY AVE, LUBBOCK, TX 79413-2438
(806) 796-0507
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J3632
TX
207Q00000X
Family Medicine Physician
Primary
J3632
TX
207V00000X
Obstetrics & Gynecology Physician
J3632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037656802
—
TX
01
—
100261100
FIRSTCARE PRO-FEE
TX
01
—
126913601
TPI
TX
01
—
8A8612
BCBS
TX
01
—
J3632
TEXAS LICENSE NUMBER
TX
Enumeration date
07/24/2006
Last updated
06/04/2014
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