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Todd David Bengtson, MD
Vascular Surgery Physician in Tyler, Texas
NPI 1912970773

Todd David Bengtson is a Vascular Surgery Physician based in Dallas, TX and is specialized in Vascular Surgery. Todd David Bengtson practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Todd David Bengtson is 1912970773 and holds a License No. J5139 (Texas).

The current practice location address for Todd David Bengtson is 619 S Fleishel Ave, Tyler, TX and can be reached out via phone at 903-525-1400. You can also correspond with Todd David Bengtson through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6450).

Location: 619 S Fleishel Ave, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912970773
Provider Name
Todd David Bengtson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 S Fleishel Ave, Tyler, TX, 75284-6098
Phone Number
903-525-1400
Fax Number
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020039690 01 TX MEDICARE RAILROAD
123704 01 TX CHIPS
752616977111 01 TX TRICARE
752616977053 01 TX TRICARE CHAMPUS
75-2616977-130 01 TX TRICARE
5076044 01 TX AETNA
123916203 05 TX
752616977083 01 TX TRICARE
88860G 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
619 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2004
Phone Number
903-525-1400
Fax Number
person
Provider Business Mailing Address Details
Address
619 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2004
Phone Number
903-525-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
J5139 (Texas)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
J5139 (Texas)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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