TED L CARELOCK

FORT WORTH, TX
NPI1972502367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  D3992)
Additional Taxonomies2085B0100X Radiology, Body Imaging
(Licence: TX  D3992)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: TX  D3992)
Enumeration Date2005-07-18
Last Update Date2012-08-15
Business Address
Dr. TED L CARELOCK M.D.
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0312
Mailing Address
Dr. TED L CARELOCK M.D.
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0312