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1528571759
TREVON ROSHAD DOUGLAS
WICHITA FALLS, TX
NPI
1528571759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP135794)
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
Mr. TREVON ROSHAD DOUGLAS AGACNP-BC
1600 11TH ST
WICHITA FALLS, TX 76301-4300
Phone number: 940-764-8400
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Mailing Address
Mr. TREVON ROSHAD DOUGLAS AGACNP-BC
1201 SUNNYSIDE LN
WICHITA FALLS, TX 76301-8172
Phone number:
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