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1164024170
SIADATI SURGICAL CONSULTING LLC
GRAPEVINE, TX
NPI
1164024170
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Entity Type
Organization
Authorized Contact
MOHAMMAD R SIADITI
Owner/Physician
972-890-3459
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
SIADATI SURGICAL CONSULTING LLC
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051-8766
Phone number: 817-267-2678
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Mailing Address
SIADATI SURGICAL CONSULTING LLC
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 76051-8766
Phone number:
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