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1063466761
LARRY RAY BIRDWELL
AUSTIN, TX
NPI
1063466761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX F6445)
Enumeration Date
2006-05-19
Last Update Date
2017-03-02
Business Address
-- LARRY RAY BIRDWELL DO
2901 MONTOPOLIS DR
AUSTIN, TX 78741-6411
Phone number: 512-978-9901
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Mailing Address
-- LARRY RAY BIRDWELL DO
2901 MONTOPOLIS DR
AUSTIN, TX 78741-6411
Phone number: 512-978-9901
Copy
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