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1255794061
EAST TEXAS II - LONGVIEW, LP
IRVING, TX
NPI
1255794061
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Entity Type
Organization
Authorized Contact
ANGELA M. WALKER
Business Manager
410-356-5290
Organization Subpart ?
Yes
Primary Taxonomy
261QL0400X Clinic/Center Lithotripsy
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
EAST TEXAS II - LONGVIEW, LP
2801 GATEWAY DR SUITE 100
IRVING, TX 75063-6082
Phone number: 410-356-5290
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Mailing Address
EAST TEXAS II - LONGVIEW, LP
1700 W PARK DR SUITE 410
WESTBOROUGH, MA 01581-3939
Phone number: 410-356-5290
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