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HOUSTON, TX
NPI1083242465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: TX  390200000X)
Enumeration Date2020-03-31
Last Update Date2020-04-29
Business Address
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1 BAYLOR PLZ # BCM610
HOUSTON, TX 77030-3411
Phone number: 832-826-7354
Mailing Address
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1 BAYLOR PLZ # BCM610
HOUSTON, TX 77030-3411
Phone number: 832-826-7354