Organization
CTTDD FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLESIA DAVIS (MANAGER)
(903) 742-9416
Entity
Organization
Contact information
Practice address
402 S BOLIVAR ST, MARSHALL, TX 75670-4110
(903) 935-9105
Mailing address
402 S BOLIVAR ST, MARSHALL, TX 75670-4110
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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