Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 05/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W ARBROOK BLVD SUITE 250
ARLINGTON TX
76015-4327
US

IV. Provider business mailing address

800 W ARBROOK BLVD SUITE 250
ARLINGTON TX
76015-4327
US

V. Phone/Fax

Practice location:
  • Phone: 817-465-7764
  • Fax: 817-465-8117
Mailing address:
  • Phone: 817-465-7764
  • Fax: 817-465-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FREDERICK DOUGLAS TODD II
Title or Position: NEUROSURGEON
Credential: M.D. P.A.
Phone: 817-465-7764