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1326304908
MAYA IRENE SRIMUSHNAM BATISTA
FORT WORTH, TX
NPI
1326304908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TX R5651)
Enumeration Date
2012-04-08
Last Update Date
2023-01-09
Business Address
Miss MAYA IRENE SRIMUSHNAM BATISTA M.D.
6201 OVERTON RIDGE BLVD
FORT WORTH, TX 76132-3613
Phone number: 817-222-8325
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Mailing Address
Miss MAYA IRENE SRIMUSHNAM BATISTA M.D.
PO BOX 1515
DURANT, OK 74702-1515
Phone number: 661-262-7479
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