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Individual

DR. FOY EDWARD DARK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1201 HEWITT DR, SUITE 203, WACO, TX 76712-8833
(254) 666-3627
(243) 732-6125
Mailing address
1201 HEWITT DR, SUITE 203, WACO, TX 76712-8833
(254) 666-3627
(254) 732-6125

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TXBL2860
TX
207Q00000X
Family Medicine Physician
L2860
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147338106
TX
01
8G2620
BC BS OF TX
TX
01
920116707
RR MCR TX
TX
Enumeration date
08/31/2006
Last updated
06/03/2015
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