www.marshallortho.com

Douglas A. Waldman, MD

- TX License E-6674 -- AW

NPI 1902801871 / TX DPS D0127308

304 University, Suite 212      Marshall, Texas 75670-5247

Phone [903] 935-1151 -- Fax [903] 935-0077

PRESCRIPTION

[GENERICS OK]

Patient Name:

Patient address:

Patient DOB or Age:

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Refill: 

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                                          Douglas A. Waldman, MD

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