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1043644537
WISAM NACHAWATI
GRAND PRAIRIE, TX
NPI
1043644537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX T1786)
Enumeration Date
2013-09-03
Last Update Date
2023-01-17
Business Address
WISAM NACHAWATI DO
5224 S STATE HIGHWAY 360 STE 230
GRAND PRAIRIE, TX 75052-0964
Phone number: 972-522-0691
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Mailing Address
WISAM NACHAWATI DO
5224 S STATE HIGHWAY 360 STE 230
GRAND PRAIRIE, TX 75052-0964
Phone number: 972-522-0691
Copy
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