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1063835460
TINA T ELACKATT
SUGAR LAND, TX
NPI
1063835460
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Former Name
TINA T THANKACHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05158)
Enumeration Date
2014-01-22
Last Update Date
2015-08-20
Business Address
-- TINA T ELACKATT PA-C
4690 SWEETWATER BLVD SUITE 200
SUGAR LAND, TX 77479-3467
Phone number: 281-565-0033
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Mailing Address
-- TINA T ELACKATT PA-C
6818 SPANISH BAY CT
MISSOURI CITY, TX 77459-5071
Phone number: 832-216-9991
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