MEDICARE: FREDERICK D. TODD II, M.D. P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053447029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK D. TODD II, M.D. P.A.

Provider Business Mailing Address
First Line	:	3148 MATLOCK RD STE 501
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2923
Country	:	US
Telephone Number	:	817-465-7764
Fax Number	:	817-465-8117

Provider Business Practice Location Address
First Line	:	3148 MATLOCK RD STE 501
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2923
Country	:	US
Telephone Number	:	817-465-7764
Fax Number	:	817-465-8117

Authorized Official
Title or Position	:	NEUROSURGEON
Name	:	DR. FREDERICK DOUGLASS TODD II
Credential	:	M.D. P.A.
Telephone Number	:	817-465-7764

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	04/16/2026

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