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1023117157
CCST ASSOCIATES PLLC
DALLAS, TX
NPI
1023117157
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Entity Type
Organization
Authorized Contact
ALICIA J MANGRAM
Trauma Surgeon
214-943-8605
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX J8654)
Enumeration Date
2006-09-22
Last Update Date
2007-10-17
Business Address
CCST ASSOCIATES PLLC
221 W COLORADO BLVD SUITE 100
DALLAS, TX 75208
Phone number: 214-943-8605
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Mailing Address
CCST ASSOCIATES PLLC
221 W COLORADO BLVD SUITE 100
DALLAS, TX 75208
Phone number: 214-943-8605
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