| Cttdd Family Practice | |
|
402 S Bolivar St Marshall TX 75670-4110 | |
| (903) 935-9105 | |
| Not Available |
| Full Name | Cttdd Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 402 S Bolivar St, Marshall, Texas |
| Authorized Official Name and Position | Tolesia Davis (MANAGER) |
| Authorized Official Contact | 9037429416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cttdd Family Practice 402 S Bolivar St Marshall TX 75670-4110 Ph: () - | Cttdd Family Practice 402 S Bolivar St Marshall TX 75670-4110 Ph: (903) 935-9105 |
| NPI Number | 1548089865 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548089865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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