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1316604580
TX PRIVATE PRACTICE LLC
CORPUS CHRISTI, TX
NPI
1316604580
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Entity Type
Organization
Authorized Contact
JULIE GAZA
Clinic Administrator
210-862-8849
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
TX PRIVATE PRACTICE LLC
2209 N PADRE ISLAND DR STE K1
CORPUS CHRISTI, TX 78408-2261
Phone number: 361-500-4200
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Mailing Address
TX PRIVATE PRACTICE LLC
2209 N PADRE ISLAND DR STE K1
CORPUS CHRISTI, TX 78408-2261
Phone number: 210-862-8849
Copy
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