THOMAS ELDEN DEPORTER

FORT WORTH, TX
NPI1174651004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  H9063)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- THOMAS ELDEN DEPORTER M.D.
6300 RIDGLEA PL STE 415
FORT WORTH, TX 76116-5706
Phone number: 817-377-1333
Mailing Address
-- THOMAS ELDEN DEPORTER M.D.
6300 RIDGLEA PL STE 415
FORT WORTH, TX 76116-5706
Phone number: 817-377-1333
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