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Organization
ANESIA K. GARMON, DO PA
Active
Organization
ANESIA K. GARMON, DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANESIA KHVOROFF GARMON DO (PRESIDENT)
(817) 341-7626
Entity
Organization
Contact information
Practice address
902 FOSTER LN, WEATHERFORD, TX 76086-5714
(817) 341-7626
(817) 596-9771
Mailing address
902 FOSTER LN, WEATHERFORD, TX 76086-5714
(817) 341-7626
(817) 596-9771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033831101
—
TX
Enumeration date
09/02/2011
Last updated
09/02/2011
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