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Individual

DAVID EGERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 351-3777
(806) 351-3765
Mailing address
1400 WALLACE BLVD, ATTN: CREDENTIALING DEPT., AMARILLO, TX 79106-1708
(806) 351-3777
(806) 351-3765

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
24263
TX
103TF0000X
Family Psychologist
Primary
24263
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038409102
TX
05
038409104
TX
05
100841260 A
OK
05
19708017
NM
Enumeration date
07/07/2006
Last updated
06/24/2013
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