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1114983830
MARA S. TACHE
AUSTIN, TX
NPI
1114983830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX L0638)
Enumeration Date
2006-04-21
Last Update Date
2022-01-28
Business Address
-- MARA S. TACHE MD
2400 CEDAR BEND DR
AUSTIN, TX 78758-5378
Phone number: 512-901-4016
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Mailing Address
-- MARA S. TACHE MD
12221 N MOPAC EXPY
AUSTIN, TX 78758-2401
Phone number: 512-901-4016
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