Texoma Interstate Ventures

NPI #1730117219 in Denison, Texas

Provider Information

NPI Number: 1730117219
Entity Type: Organization
Organization Name: Texoma Interstate Ventures
Primary Specialty: Family Medicine
Enumeration Date: Jun 30, 2006
Last Updated: Nov 16, 2007

Practice Location

Address: 3126 W FM 120
City: Denison
State: Texas
ZIP Code: 75020
Phone: (903) 416-7544

Authorized Official

Name: W MACKEY WATKINS, MD
Title: PRESIDENT CEO
Phone: (903) 416-4126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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