Richard Todd Dombroski
Family Doctor Neuromusculoskeletal Medicine (NMM) Family Doctor - Sports Medicine
6913 Camp Bowie Blvd Ste 107
Fort Worth
, Texas 76116-7164
Richard Todd Dombroski
Family Doctor Neuromusculoskeletal Medicine (NMM) Family Doctor - Sports Medicine
6913 Camp Bowie Blvd Ste 107
Fort Worth
, Texas 76116-7164
(817) 412-0877
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Richard Todd Dombroski
- 8332 Whippoorwill Dr
- Fort Worth, TX
- Zip : 76123-1994
- Phone : (817) 412-0877
Second Address
- Richard Todd Dombroski
- 6913 Camp Bowie Blvd Ste 107
- Fort Worth, TX
- Zip : 76116-7164
- Phone : (817) 367-9289
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | Q3358 | TX |
| N | 207Q00000X | Family Doctor | Q3358 | TX |
| N | 207QS0010X | Family Doctor - Sports Medicine | Q3358 | TX |
National Provider Identifier
| NPI | 1144209552 |
|---|---|
| Provider Name | Richard Todd Dombroski |
| First Address | Fort Worth, TX 76123-1994 |
| Second Address | Fort Worth, TX 76116-7164 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 18/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 344044801 | (05) | TX |
| 344044804 | (05) | TX |
| 8FA812 | BCBS (01) | TX |
| 8FA814 | BCBS (01) | TX |
| P01609114 | RAILROAD MEDICARE (01) | TX |
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.