Search › Texas › 101YM0800X
Frederick Theobald, L.P.C
NPI 1932523107 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3402 Oak Grove Ave
Suite No. 305
Dallas, TX 75204 - Phone
- (214) 965-9104
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas