Provider Demographics
NPI:1336185875
Name:HELDRIDGE, TOD C (MD)
Entity Type:Individual
Prefix:DR
First Name:TOD
Middle Name:C
Last Name:HELDRIDGE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1501 HUGHES ROAD
Mailing Address - Street 2:ST 102
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7432
Mailing Address - Country:US
Mailing Address - Phone:682-206-5142
Mailing Address - Fax:817-583-8925
Practice Address - Street 1:1501 HUGHES ROAD
Practice Address - Street 2:ST. 102
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7432
Practice Address - Country:US
Practice Address - Phone:682-206-5142
Practice Address - Fax:817-583-8925
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2022-08-31
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Provider Licenses
StateLicense IDTaxonomies
TXG8175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135463105Medicaid
TX135463108Medicaid
TX1336185875OtherNPI
1336185875OtherNPI NUMBER
TX135463105Medicaid