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1154300788
DAVID CROCKETT TELLER
AUSTIN, TX
NPI
1154300788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: TX H2828)
Enumeration Date
2006-01-12
Last Update Date
2016-12-15
Business Address
-- DAVID CROCKETT TELLER MD
7901 METROPOLIS DR
AUSTIN, TX 78744-3111
Phone number: 512-823-4880
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Mailing Address
-- DAVID CROCKETT TELLER MD
7901 METROPOLIS DR
AUSTIN, TX 78744-3111
Phone number: 512-823-4880
Copy
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