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Organization

BRAZOS MEDICAL CLINC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID J FEDRO DO (PHYSICIAN)
(254) 803-3561
Entity
Organization

Contact information

Practice address
322 COLEMAN ST, MARLIN, TX 76661-2358
(254) 803-3561
Mailing address
PO BOX 807, MARLIN, TX 76661-0807
(254) 803-3561
(254) 883-6835

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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