THERESA M FONTENOT

TEXARKANA, TX
NPI1578558961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00982)
Enumeration Date2005-09-13
Last Update Date2012-01-21
Business Address
Mrs. THERESA M FONTENOT PAC
3939 TEXAS BLVD
TEXARKANA, TX 75503-3207
Phone number: 903-255-6398
Mailing Address
Mrs. THERESA M FONTENOT PAC
3939 TEXAS BLVD
TEXARKANA, TX 75503-3207
Phone number: 903-255-6398
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