Ted E. Fogwell, M.D., P.a.

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X

License

E0917 Issued in TX

Legal business name

TED E. FOGWELL, M.D., P.A.

Practice address

8160 Walnut Hill LN
Suite 220
Dallas, TX 75231-4339

Phone

(214) 750-0980

Fax

(214) 361-1927

NPI assigned

Apr 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ted E. Fogwell, M.D.

Title

President

Phone

(214) 750-0980

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1295954758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-750-0980",
            "fax_number": "214-361-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "SUITE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-750-0980",
            "fax_number": "214-361-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED E. FOGWELL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "FOGWELL",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-750-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "E0917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.