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Organization
TEXOMA INTERSTATE VENTURES
Active
Organization
TEXOMA INTERSTATE VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W MACKEY WATKINS MD (PRESIDENT CEO)
(903) 416-4126
Entity
Organization
Contact information
Practice address
3126 W FM 120, DENISON, TX 75020
(903) 416-7544
(903) 416-7545
Mailing address
1000 MEMORIAL DR, DENISON, TX 75020-2035
(903) 416-5144
(903) 416-4137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
11/16/2007
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