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1982805164
HENRIK B ILLUM
BEDFORD, TX
NPI
1982805164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: TX N0118)
Enumeration Date
2007-05-29
Last Update Date
2015-06-25
Business Address
Dr. HENRIK B ILLUM M.D.
1615 HOSPITAL PARKWAY SUITE 300
BEDFORD, TX 76022
Phone number: 817-354-5581
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Mailing Address
Dr. HENRIK B ILLUM M.D.
PO BOX 911230
DALLAS, TX 75391-1230
Phone number: 972-997-8000
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