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1306863998
RAYMOND A FAIRES
FORT WORTH, TX
NPI
1306863998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TX E6342)
Enumeration Date
2006-07-17
Last Update Date
2011-09-30
Business Address
-- RAYMOND A FAIRES MD
1325 PENNSYLVANIA AVE SUITE 325
FORT WORTH, TX 76104-2175
Phone number: 817-878-5325
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Mailing Address
-- RAYMOND A FAIRES MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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