Thomas Proctor

NPI #1861789208 in Grapevine, Texas

Provider Information

NPI Number
1861789208
Entity Type
Individual
Name
Thomas Proctor
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 6, 2011
Last Updated
Jul 6, 2011

Practice Location

Address
302 S PARK BLVD
State
Texas
ZIP Code
76051-7835
Phone
(817) 481-2598

Specialties & Taxonomy Codes

Specialty
Pharmacist

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