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1083208920
MACIE MAXFIELD BODEN
HOUSTON, TX
NPI
1083208920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14203)
Enumeration Date
2021-02-22
Last Update Date
2023-02-23
Business Address
MACIE MAXFIELD BODEN PA-C
6410 FANNIN ST
HOUSTON, TX 77030-3000
Phone number: 713-704-5223
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Mailing Address
MACIE MAXFIELD BODEN PA-C
6431 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-704-5223
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