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Organization
PRIMARY CARE OF EAGLE PASS PLLC
Active
Organization
PRIMARY CARE OF EAGLE PASS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W CHISUM MD (SOLE MEMBER)
(830) 213-8186
Entity
Organization
Contact information
Practice address
1975 N VETERANS BLVD STE 9, EAGLE PASS, TX 78852-4456
(830) 213-8186
(830) 213-8157
Mailing address
1975 N VETERANS BLVD STE 9, EAGLE PASS, TX 78852-4456
(830) 213-8186
(830) 213-8157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
09/26/2023
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