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Specialty details in registry · Center, TX

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At a glance

1110 Tenaha St, Center, TX 75935-3036

NPPES record updated May 16, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1110 Tenaha St Suite 5
Center, TX 75935-3036

Professional details: NPI, taxonomy & registry record

NPI1730525759

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM2800X
Enumeration date: May 16, 2013
Record updated: May 16, 2013

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM2800X · Primary

License reported: 1000039 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1110 Tenaha St
Suite 5
Center, TX 75935-3036

Phone: (936) 598-6608
Fax: (936) 598-6618

Mailing address

8300 DOUGLAS AVE
SUITE 750
DALLAS, TX 752255603

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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