Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | R1282 | TX |
NPI | 1033476551 |
---|---|
Provider Name | Dr. Ted Ritchie |
First Address | Frisco, TX 75035-0511 |
Second Address | Frisco, TX 75035-0511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 22/10/2021 |