Organization · Type 2 NPI

Ronald G. Bristow, M.d. and Assoc.

Medical Specialty Clinic/Center · Dallas, TX

NPI number 1467766790 Active

Practice location

1110 N Buckner Blvd, Suite 103
Dallas, TX 75218-3487

Fax (214) 328-1332

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	E3217 (TX)

Medical Specialty Clinic/Center: 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).

3 other providers at this address

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About NPI 1467766790

Ronald G. Bristow, M.d. and Assoc.'s National Provider Identifier is 1467766790, issued on Jul 28, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Dallas, TX. The record was last updated on Dec 6, 2011.