Provider Demographics
NPI:1588721211
Name:TODD, FREDERICK D II (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:D
Last Name:TODD
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FREDERICK
Other - Middle Name:D
Other - Last Name:TODD
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:800 W ARBROOK BLVD
Mailing Address - Street 2:250
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4327
Mailing Address - Country:US
Mailing Address - Phone:817-465-7764
Mailing Address - Fax:817-465-8117
Practice Address - Street 1:800 W ARBROOK BLVD
Practice Address - Street 2:250
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4327
Practice Address - Country:US
Practice Address - Phone:817-465-7764
Practice Address - Fax:817-465-8117
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4605207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00587RMedicare ID - Type Unspecified
TXB27015Medicare UPIN