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East Texas Urology Specialists David T. Price MD Tina C. Price MSN AGNP-C 1111 W. Frank Ave. Ste. 303 Phone 936 632-0074 Lufkin TX 75904 Fax 936 632-0081 Patient Information Today s Date NameSSN Address City/State/Zip Phone number where you want to be reached Other Date of BirthAgeSexMarital Status Spouse s NameSpouse s phone Race Hispanic Caucasian African American Asian Other Occupation Work Number Employer Full Time Student Yes No Emergency ContactRelationshipPhone Who referred...
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East Texas Urology Specialists is a medical practice that specializes in the treatment of urological conditions.
The owners or operators of East Texas Urology Specialists are required to file the necessary paperwork.
To fill out the paperwork for East Texas Urology Specialists, one must provide accurate and up-to-date information on the practice.
The purpose of East Texas Urology Specialists is to provide high-quality urological care to patients in the East Texas region.
Information such as financial data, patient demographics, and medical procedures performed must be reported on East Texas Urology Specialists.
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