RONALD G. BRISTOW M.D. AND ASSOC. NPI 1467766790

NPI Information

RONALD G. BRISTOW, M.D. AND ASSOC. is a medical specialty clinic center in Dallas, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RONALD G. BRISTOW, M.D. AND ASSOC. NPI is 1467766790. The provider is registered as an organization entity type.

The provider's business location address is:

1110 N BUCKNER BLVD
SUITE 103
DALLAS, TX
ZIP 75218-487
Phone: (214) 328-8200
Fax: (214) 328-1332

The provider's authorized official is Ronald Griffith Bristow .
The authorized official title is Physician/owner and has the following contact phone number (214) 328-8200.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 12/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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