Cttdd Family Practice

NPI #1548089865 in Marshall, Texas

Provider Information

NPI Number
1548089865
Entity Type
Organization
Organization Name
Cttdd Family Practice
Primary Specialty
Clinic/Center
Enumeration Date
Oct 3, 2024
Last Updated
Oct 3, 2024

Practice Location

Address
402 S BOLIVAR ST
State
Texas
ZIP Code
75670-4110
Phone
(903) 935-9105

Authorized Official

Name
TOLESIA DAVIS
Title
MANAGER
Phone
(903) 742-9416

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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