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1255320149
MARY PURNELL MADDOCK
HOUSTON, TX
NPI
1255320149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX D5269)
Enumeration Date
2005-10-14
Last Update Date
2010-05-05
Business Address
-- MARY PURNELL MADDOCK MD
1315 ST JOSEPH PKWY #302
HOUSTON, TX 77002-8233
Phone number: 713-659-3284
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Mailing Address
-- MARY PURNELL MADDOCK MD
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number: 713-659-3284
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