DR. Tom R Fontenot, D.C.

NPI #1912917337 in Groves, Texas

Provider Information

NPI Number: 1912917337
Entity Type: Individual
Name: DR. Tom R Fontenot, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor - Radiology
Credential: D.C.
Enumeration Date: Aug 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5541 E PARKWAY ST
City: Groves
State: Texas
ZIP Code: 77619-2935
Phone: (409) 960-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Radiology — Radiology	111NR0200X	Primary

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