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Individual

JOHN W LOUDERMILK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
409 CENTRAL PARK DR., ARLINGTON, TX 76014
(817) 261-9191
(817) 784-6880
Mailing address
409 CENTRAL PARK DR, ARLINGTON, TX 76014-2069
(817) 261-9191
(817) 784-6880

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
E4490
TX
207Y00000X
Otolaryngology Physician
Primary
E4490
TX

Other

Enumeration date
07/31/2006
Last updated
12/04/2012
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