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Organization
RAYMOND WESTBROOK DO PA
Active
Organization
RAYMOND WESTBROOK DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LYLES HAWKINS (CREDENTIALING)
(361) 356-3110
Entity
Organization
Contact information
Practice address
2701 MATLOCK RD STE 105, ARLINGTON, TX 76015-2529
(817) 786-3040
(817) 786-3041
Mailing address
2701 MATLOCK RD STE 105, ARLINGTON, TX 76015-2529
(817) 786-3040
(817) 786-3041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045797003
—
TX
05
—
045797004
—
TX
05
—
045797005
—
TX
Enumeration date
04/17/2015
Last updated
09/10/2018
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