Individual provider · Type 1 NPI

Theodore Bryan Gupton Jr., MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1790019347 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0404 Map

Mailing address

816 W Cannon Street
Fort Worth, TX 76104

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XQ2900 (TX)
Diagnostic Radiology Physician Primary 2085R0202XQ2900 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1790019347

Theodore Bryan Gupton Jr., MD's National Provider Identifier is 1790019347, issued on Sep 30, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 20, 2024.