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Individual

DR. DAVID PORTEUS FEARIS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7736 CENTRAL PARK DR, WACO, TX 76712-6500
(254) 772-2373
Mailing address
PO BOX 23363, WACO, TX 76702-3363

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D3014
TX

Other

Enumeration date
08/28/2006
Last updated
07/11/2007
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