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Individual
THOMAS DAMIAN NABORS
Active
Individual
THOMAS DAMIAN NABORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451811
UNITED CONCORDIA
TX
01
—
D12606
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/30/2007
Last updated
07/08/2007
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