Individual
COLIN M FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 BUISNESS CIRCLE, TERRELL, TX 75160
(972) 524-8625
(972) 524-8626
Mailing address
122 BUISNESS CIRCLE, P.O. BOX 706, TERRELL, TX 75160
(972) 524-8625
(972) 524-8626
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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