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Individual

CODY ELDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 345-6789
Mailing address
111 COMANCHE DR, GREENVILLE, TX 75402-2818
(903) 413-7560

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/14/2023
Last updated
05/02/2023
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