Individual
MR. DANNY LEE DENNIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
939 MISSILE ROAD BLD 1900, WICHITA FALLS, TX 76311
(940) 676-0815
Mailing address
5602 GREENTREE AVE., WICHITA FALLS, TX 76306
(334) 546-7379
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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