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Individual

RAY BOCKOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATP, CRTS

Contact information

Practice address
13213 HWY 155 S, SUITE B, TYLER, TX 75703-6561
(903) 509-4446
Mailing address
12012 COUNTY ROAD 283 E, WHITEHOUSE, TX 75791-6010
(903) 509-4446

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
06/25/2011
Last updated
06/25/2011
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