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1053161364
MICAH VAN YPEREN
SUGAR LAND, TX
NPI
1053161364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA17880)
Enumeration Date
2024-03-27
Last Update Date
2024-04-17
Business Address
MICAH VAN YPEREN PA-C
17510 W GRAND PKWY S STE 490
SUGAR LAND, TX 77479-2649
Phone number: 713-772-1200
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Mailing Address
MICAH VAN YPEREN PA-C
1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND, TX 77478-3540
Phone number: 800-936-0074
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