Individual
MR. ROBERT LEE WARE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1210 HALSELL ST STE B, BRIDGEPORT, TX 76426-3151
(940) 366-3807
Mailing address
112 COUNTY ROAD 1638, CHICO, TX 76431-2237
(940) 366-3807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129326
TX
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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