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Individual

DAVID CALLANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 W RANDOL MILL RD, SUITE 101, ARLINGTON, TX 76012-2505
(817) 261-9625
Mailing address
PO BOX 650037, DALLAS, TX 75265-0037
(214) 696-2008

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G7130
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131756208
TX
05
131756209
TX
05
131756210
TX
Enumeration date
07/14/2005
Last updated
12/01/2011
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