Dr. Theodore Willis Laetsch JR.
Pediatrician Pediatric Hematology-Oncologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7201
Dr. Theodore Willis Laetsch JR.
Pediatrician Pediatric Hematology-Oncologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7201
(214) 648-2481
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Theodore Willis Laetsch JR.
- Po Box 845347
- Dallas, TX
- Zip : 75284-5347
- Fax : (214) 648-2481
- Phone : (214) 648-3903
Second Address
- Dr. Theodore Willis Laetsch JR.
- 5323 Harry Hines Blvd
- Dallas, TX
- Zip : 75390-7201
- Fax : (214) 648-2481
- Phone : (214) 648-3903
Reviews
FAQs
Where did Dr. Theodore Willis Laetsch JR. attend graduate school?
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Where did Dr. Theodore Willis Laetsch JR. do his fellowship?
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What type of doctor is Dr. Theodore Willis Laetsch JR.
In what state does Dr. Theodore Willis Laetsch JR. practice in?
Where is Dr. Theodore Willis Laetsch JR.’s practice located?
What is Dr. Theodore Willis Laetsch JR.’s gender?
Is Dr. Theodore Willis Laetsch JR. a sole practitioner?
Is Dr. Theodore Willis Laetsch JR. accepting new patients?
What languages does Dr. Theodore Willis Laetsch JR. speak?
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Does Dr. Theodore Willis Laetsch JR. have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | MD436327 | PA |
| N | 2080P0207X | Pediatric Hematology-Oncologist | MD436327 | PA |
| N | 2080P0207X | Pediatric Hematology-Oncologist | P6853 | TX |
National Provider Identifier
| NPI | 1154477834 |
|---|---|
| Provider Name | Dr. Theodore Willis Laetsch JR. |
| First Address | Dallas, TX 75284-5347 |
| Second Address | Dallas, TX 75390-7201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 22/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 13339796 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.