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1689687238
IMMANUEL S. THAMBAN
WACO, TX
NPI
1689687238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IL 036-063581)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Dr. IMMANUEL S. THAMBAN M.D.
4800 MEMORIAL DR
WACO, TX 76711-1329
Phone number: 254-297-3735
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Mailing Address
Dr. IMMANUEL S. THAMBAN M.D.
11004 WILLOW BEND DR
WOODWAY, TX 76712-8524
Phone number:
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