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Individual

ROBERT GENE GARMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
712 E ANDERSON ST, SUITE B, WEATHERFORD, TX 76086-5873
(817) 599-3342
(817) 599-3338
Mailing address
PO BOX 961094, FILE 916035, FORT WORTH, TX 76161-0094
(817) 599-3342
(817) 599-3338

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E3279
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0081GG
BLUE CROSS PROVIDER
TX
Enumeration date
08/31/2006
Last updated
07/09/2007
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