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Organization
STRIPLING CLINIC
Active
Organization
STRIPLING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE RANDOLPH DANEL MD (OWNER)
(903) 586-2278
Entity
Organization
Contact information
Practice address
555 S JACKSON ST, JACKSONVILLE, TX 75766-2476
(903) 586-2278
(903) 586-3127
Mailing address
555 S JACKSON ST, JACKSONVILLE, TX 75766-2476
(903) 586-2278
(903) 586-3127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D9115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034812001
—
TX
Enumeration date
12/08/2005
Last updated
06/30/2008
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