Organization
GRAYLINE CLINICAL DRUG TRIALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK R TOMLINSON M.D. (MEDICAL DIRECTOR)
(940) 322-1131
Entity
Organization
Contact information
Practice address
3300 SEYMOUR HWY, WICHITA FALLS, TX 76309-1608
(940) 322-1131
(940) 322-4953
Mailing address
3300 SEYMOUR HWY, WICHITA FALLS, TX 76309-1608
(940) 322-1131
(940) 322-4953
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
C6537
TX
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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