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Individual

JOHN T DIPASQUALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5565
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103946301
TX
Enumeration date
10/25/2005
Last updated
03/16/2018
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