Organization
ENT ASSOCIATES OF CENTRAL TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK O DAMMERT M.D. (OWNER)
(318) 402-9222
Entity
Organization
Contact information
Practice address
1180 SETON PKWY, SUITE 330, KYLE, TX 78640-6178
(318) 402-9222
Mailing address
PO BOX 798, WAXAHACHIE, TX 75168-0798
(972) 937-7240
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N9533
TX
Other
Enumeration date
06/15/2011
Last updated
09/06/2011
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