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1457307613
PHILLIP L FORTENBERRY
SAN ANTONIO, TX
NPI
1457307613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L5336)
Enumeration Date
2006-05-26
Last Update Date
2011-10-04
Business Address
-- PHILLIP L FORTENBERRY M.D
311 CAMDEN ST SUITE 208
SAN ANTONIO, TX 78215-2012
Phone number: 210-892-0228
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Mailing Address
-- PHILLIP L FORTENBERRY M.D
311 CAMDEN ST SUITE 208
SAN ANTONIO, TX 78215-2012
Phone number: 210-892-0228
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