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1609319458
NACOGDOCHES INTERNAL MEDICINE PLLC
NACOGDOCHES, TX
NPI
1609319458
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Entity Type
Organization
Authorized Contact
WALTER BRAD WILSON
President
936-560-1812
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX H3293)
Enumeration Date
2016-11-28
Last Update Date
2018-05-21
Business Address
NACOGDOCHES INTERNAL MEDICINE PLLC
412 NORTH ST STE E
NACOGDOCHES, TX 75961
Phone number: 936-560-1812
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Mailing Address
NACOGDOCHES INTERNAL MEDICINE PLLC
412 NORTH ST STE E
NACOGDOCHES, TX 75961-5070
Phone number: 936-560-1812
Copy
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