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Contact Information

THEODORE W CROFFORD, MD
6301 HARRIS PKWY STE 300
FORT WORTH, TX76132-4245
 Phone: 817-877-3432
 Fax: 817-346-4394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THEODORE W CROFFORD · (Male)

NPI Number 1265473466
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 05/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H0273
  • TX Medicaid 080486601
  • TX Medicaid 137134612
  • TN Other 80093Y BLUE CROSS & BLUE SHIELD
Hospital affiliation(s)
  • GLEN ROSE MEDICAL CENTER - (Acute Care)
    1021 HOLDEN STREET
    GLEN ROSE, TX 76043
  • TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F - (Acute Care)
    6100 HARRIS PKWY
    FORT WORTH, TX 76132
  • WEATHERFORD REGIONAL MEDICAL CENTER - (Acute Care)
    713 E ANDERSON ST
    WEATHERFORD, TX 76086
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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