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1295733822
CHARLES B. GOVER-MENDEZ
FORT WORTH, TX
NPI
1295733822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX J9689)
Enumeration Date
2005-07-08
Last Update Date
2024-08-28
Business Address
CHARLES B. GOVER-MENDEZ M.D.
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0404
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Mailing Address
CHARLES B. GOVER-MENDEZ M.D.
816 W CANNON ST
FORT WORTH, TX 76104-3194
Phone number: 817-321-0404
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