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General NPI Number Information
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NPI Number | 1477154581
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Entity Type | Organization
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Legal Business Name | TEXOMA RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4007 CALL FIELD RD STE E
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2679
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Country | US
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Telephone | 940-264-2625
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Fax | 940-264-6401
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Provider Business Mailing Address
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Address Line | PO BOX 9030
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City | WICHITA FALLS
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State | TX
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Zip | 76308-9030
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Country | US
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Telephone | 940-264-2625
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Fax | 940-264-6401
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | ERIN K LOE
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Credential | MD
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Telephone | 940-264-2625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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