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Individual

MR. LOUIS WAYNE BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8916 OAK GROVE RD, FORT WORTH, TX 76140-5124
(817) 471-9128
Mailing address
8916 OAK GROVE RD, FORT WORTH, TX 76140-5124

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
08/31/2023
Last updated
10/13/2023
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