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1972589596
TAMMY L. PON
DALLAS, TX
NPI
1972589596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J0206)
Enumeration Date
2005-12-15
Last Update Date
2009-09-04
Business Address
-- TAMMY L. PON MD
3310 LIVE OAK ST COPC ADMINISTRATION
DALLAS, TX 75204-6153
Phone number: 214-266-1247
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Mailing Address
-- TAMMY L. PON MD
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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