Individual provider · Type 1 NPI

Ted L. Carelock, MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1972502367 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0312 Map

Fax (817) 317-7033

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XD3992 (TX)
Body Imaging Physician 2085B0100XD3992 (TX)
Diagnostic Ultrasound Physician 2085U0001XD3992 (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 1972502367

Ted L. Carelock, MD's National Provider Identifier is 1972502367, issued on Jul 18, 2005. 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 Aug 15, 2012.