MEDICARE: EMILY R TODD MD

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	208000000X	Pediatrics Physician	L2700	TX

General Provider Information

NPI Number	:	1679575138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY R TODD MD

Provider Business Mailing Address
First Line	:	3521 TOWN CENTER BLVD S
Second Line	:	STE A
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-1285
Country	:	US
Telephone Number	:	281-494-2255
Fax Number	:	281-494-2266

Provider Business Practice Location Address
First Line	:	3521 TOWN CENTER BLVD S
Second Line	:	STE A
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-1285
Country	:	US
Telephone Number	:	281-494-2255
Fax Number	:	281-494-2266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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