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1992871321
TY CARL MADDOX
IRVING, TX
NPI
1992871321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX l5445)
Enumeration Date
2006-11-28
Last Update Date
2017-03-02
Business Address
-- TY CARL MADDOX D.O.
2021 N MACARTHUR BLVD SUITE 350
IRVING, TX 75061-2219
Phone number: 972-253-2500
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Mailing Address
-- TY CARL MADDOX D.O.
2021 N MACARTHUR BLVD SUITE 150
IRVING, TX 75061-2219
Phone number: 972-253-2560
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