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1992761274
BANNIE LEE TABOR
FORT WORTH, TX
NPI
1992761274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: TX G3834)
Enumeration Date
2006-04-25
Last Update Date
2011-09-27
Business Address
Dr. BANNIE LEE TABOR M.D.
1325 PENNSYLVANIA AVE SUITE 600
FORT WORTH, TX 76104-2158
Phone number: 817-878-5298
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Mailing Address
Dr. BANNIE LEE TABOR M.D.
1301 CONCORD TER
SUNRISE, FL 33323-2843
Phone number: 800-243-3839
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