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Individual
THOMAS RAYMOND HOLLINGSWORTH III
Active
Individual
THOMAS RAYMOND HOLLINGSWORTH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608107
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/20/2006
Last updated
07/08/2007
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