Individual
DR. DERICK T ATABONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4000 NEW BOSTON RD, TEXARKANA, TX 75501-2819
(903) 831-3023
Mailing address
800 JAMES BOWIE DR, NEW BOSTON, TX 75570-2334
(903) 628-5557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64658
TX
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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