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Organization

LONE STAR FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COBRA SHANLEY DO (OWNER)
(870) 389-0884
Entity
Organization

Contact information

Practice address
803 HIGHWAY 65 S, DUMAS, AR 71639-3006
(870) 389-0884
(870) 389-0885
Mailing address
PO BOX 1311, DECATUR, TX 76234-6143
(940) 627-8982
(940) 627-7597

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/16/2006
Last updated
10/26/2007
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