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1003819426
W CRYSUP SORY
DALLAS, TX
NPI
1003819426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX F4552)
Enumeration Date
2005-05-31
Last Update Date
2021-02-05
Business Address
W CRYSUP SORY MD
12700 PARK CENTRAL DR STE 430
DALLAS, TX 75251-1527
Phone number: 972-239-8902
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Mailing Address
W CRYSUP SORY MD
PO BOX 740608
DALLAS, TX 75374-0608
Phone number: 469-317-9900
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