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1164451407
MATTHEW TODD PROCTOR
JACKSONVILLE, TX
NPI
1164451407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX L3209)
Enumeration Date
2006-06-30
Last Update Date
2024-02-13
Business Address
Dr. MATTHEW TODD PROCTOR MD
2026 S JACKSON ST
JACKSONVILLE, TX 75766-5822
Phone number: 903-586-5678
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Mailing Address
Dr. MATTHEW TODD PROCTOR MD
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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