HEALTHTEXAS-MED PROVIDER
Osteopathic Medicine at Gaston Ave, Dallas, TX

License number
Texas 00T27E
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MRS. ELLEN ELIZABETH FOURTON
Title: DIRECTOR
Phone: (469) 800-8649
Address
Address
3417 Gaston Ave SUITE 1000, Dallas, TX 75246
National Provider ID: 1992700512
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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