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1114365509
CHAVELI EZPELETA LICATA
HOUSTON, TX
NPI
1114365509
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Former Name
CHAVELI ABERASTURI EZPELETA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: TX 1529)
Enumeration Date
2013-06-07
Last Update Date
2017-05-25
Business Address
-- CHAVELI EZPELETA LICATA AA
6411 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 713-500-6200
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Mailing Address
-- CHAVELI EZPELETA LICATA AA
PO BOX 301173
DALLAS, TX 75303-1173
Phone number: 713-500-3500
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