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Organization

JON M NORTHAM, M.D.,P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JON MARK NORTHAM M.D., P.A. (OWNER)
(903) 791-1044
Entity
Organization

Contact information

Practice address
6 WOODMONT XING, TEXARKANA, TX 75503-2100
(903) 791-1044
(903) 791-1047
Mailing address
6 WOODMONT XING, TEXARKANA, TX 75503-2100
(903) 791-1044
(903) 791-1047

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/10/2008
Last updated
06/24/2010
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