Organization
PRO-SOM, PLLC
Active
Organization
PRO-SOM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH CHANDLER HARVEY M.D. (PRESIDENT)
(940) 781-3013
Entity
Organization
Contact information
Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 764-2600
Mailing address
2106 CLARINDA AVE, WICHITA FALLS, TX 76308-1224
(940) 781-3013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N0085
TX
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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