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General NPI Number Information
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NPI Number | 1164380408
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Entity Type | Organization
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Legal Business Name | PREMIER SURGICAL OF TEXOMA, PLLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 175 TIMBER RIDGE DR
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City | DENISON
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State | TX
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Zip | 75021-7216
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Country | US
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Telephone | 903-965-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 175 TIMBER RIDGE DR
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City | DENISON
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State | TX
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Zip | 75021-7216
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Country | US
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Telephone | 903-965-3226
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GEORGE DUDLEY TOMPKINS III
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Credential | PA-C
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Telephone | 903-965-3226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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