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1295700227
MARK ALBERT HEAVER
DALLAS, TX
NPI
1295700227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX E7114)
Enumeration Date
2006-02-22
Last Update Date
2013-06-14
Business Address
-- MARK ALBERT HEAVER DO
2942 S BUCKNER BLVD
DALLAS, TX 75227-6907
Phone number: 214-381-1187
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Mailing Address
-- MARK ALBERT HEAVER DO
2942 S BUCKNER BLVD
DALLAS, TX 75227-6907
Phone number: 214-381-1187
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