Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE JOHN CIESLAK, M.D.
ActiveDR. THEODORE JOHN CIESLAK, M.D. is a Pediatric Infectious Diseases healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1174513212 is currently active in the NPPES registry. Verify at CMS.
Pediatric Infectious Diseases · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1174513212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.817827881071 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD-035017-E (PA)
Practice Information
- Address
-
3851 ROGER BROOKE DRDEPT OF PEDIATRICSFORT SAM HOUSTON, TX, 782344501Browse TX providers · Browse ZIP 78234
- Phone
- 2109160707
- Fax
- 2109161740
- Primary Specialty
-
Pediatric Infectious Diseases
2080P0208X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.