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Organization
NORTH TEXAS MEDICAL SURGICAL CLINIC PA
Active
Organization
NORTH TEXAS MEDICAL SURGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O BLUCKER MD (CHAIRMAN)
(940) 898-7400
Entity
Organization
Contact information
Practice address
2509 SCRIPTURE ST, STE 200, DENTON, TX 76201-2337
(940) 898-7400
(940) 387-7327
Mailing address
2509 SCRIPTURE ST, STE 200, DENTON, TX 76201-2337
(940) 898-7400
(940) 387-7327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819997 01
—
TX
Enumeration date
09/29/2006
Last updated
06/30/2008
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