WAYNE BRADSHAW FANCHER

TYLER, TX
NPI1992214209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1261465)
Enumeration Date2017-09-29
Last Update Date2018-03-17
Business Address
WAYNE BRADSHAW FANCHER DPT, PT
11466 HONOR LN
TYLER, TX 75708-3296
Phone number: 903-617-6150
Mailing Address
WAYNE BRADSHAW FANCHER DPT, PT
314 MOUNT SYLVAN ST
LINDALE, TX 75771-6234
Phone number:
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