Provider Demographics
NPI:1043363443
Name:DUNSON, TEDDRICK LOVELL (MD)
Entity Type:Individual
Prefix:DR
First Name:TEDDRICK
Middle Name:LOVELL
Last Name:DUNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4301 N MACARTHUR BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-6497
Mailing Address - Country:US
Mailing Address - Phone:469-351-3432
Mailing Address - Fax:469-333-8025
Practice Address - Street 1:4301 N MACARTHUR BLVD STE 107
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6497
Practice Address - Country:US
Practice Address - Phone:469-351-3432
Practice Address - Fax:469-333-8025
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ6623207LP2900X, 207LP2900X
FLME103461207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine