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1174651004
THOMAS ELDEN DEPORTER
FORT WORTH, TX
NPI
1174651004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: TX H9063)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business 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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Mailing Address
THOMAS ELDEN DEPORTER M.D.
6300 RIDGLEA PL STE 415
FORT WORTH, TX 76116-5706
Phone number: 817-377-1333
Copy
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