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Individual

ROBERT TERRY TRAWNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.C.O.

Contact information

Practice address
101A PARK ST, ATLANTA, TX 75551-2645
(903) 796-1245
(903) 796-9935
Mailing address
PO BOX 972, ATLANTA, TX 75551-0972
(903) 796-1245
(903) 796-9935

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0875114-01
TX
05
1968803
LA
Enumeration date
03/12/2007
Last updated
08/09/2010
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