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Organization
MARIE D PERCY MD PA
Active
Organization
MARIE D PERCY MD PA
Active
Other names
Charles Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TADLOCK (OFFICE MANAGER)
(806) 795-1431
Entity
Organization
Contact information
Practice address
4210 50TH ST, SUITE D, LUBBOCK, TX 79413-3863
(806) 795-1431
(806) 795-1461
Mailing address
4210 50TH ST, SUITE D, LUBBOCK, TX 79413-3863
(806) 795-1431
(806) 795-1461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L4197
TX
Other
Enumeration date
09/05/2012
Last updated
02/28/2014
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