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Individual

FORREST DUANE GILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
152 MCVOID RD, SPRINGTOWN, TX 76082-5929
(817) 677-3043
Mailing address
152 MCVOID RD, SPRINGTOWN, TX 76082-5929

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C8289
TX

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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