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Individual

SHIRIL M. HOMBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4770 REGENT BLVD, IRVING, TX 75063-2445
(972) 934-4300
(972) 455-1212
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J4652
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548226483
NPI
TX
01
8CK030
BCBS
TX
Enumeration date
04/20/2006
Last updated
09/26/2017
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