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1023461399
TOMMY CALDWELL
TEXARKANA, AR
NPI
1023461399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP131459)
Enumeration Date
2016-07-21
Last Update Date
2016-12-27
Business Address
TOMMY CALDWELL
1205 E 35TH ST
TEXARKANA, AR 71854-2746
Phone number: 903-614-5355
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Mailing Address
TOMMY CALDWELL
PO BOX 5637
TEXARKANA, TX 75505-5637
Phone number: 903-831-7270
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