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1437195609
LARRY D TATUM
FORT WORTH, TX
NPI
1437195609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: TX F4585)
Enumeration Date
2006-06-22
Last Update Date
2020-02-28
Business Address
LARRY D TATUM MD
1250 8TH AVE STE 430
FORT WORTH, TX 76104-4144
Phone number: 817-923-5558
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Mailing Address
LARRY D TATUM MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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