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1376645283
JOHN LAWRENCE FAIRBANKS
FLOWER MOUND, TX
NPI
1376645283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: TX J9018)
Enumeration Date
2006-09-01
Last Update Date
2017-01-31
Business Address
-- JOHN LAWRENCE FAIRBANKS MD
4370 MEDICAL ARTS DR SUITE 105
FLOWER MOUND, TX 75028-1712
Phone number: 214-394-4500
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Mailing Address
-- JOHN LAWRENCE FAIRBANKS MD
3600 GASTON AVE SUITE 1205
DALLAS, TX 75246-1800
Phone number: 214-692-8262
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