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1346771748
MICHAEL MCKELVA
TYLER, TX
NPI
1346771748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA11152)
Enumeration Date
2017-03-27
Last Update Date
2021-03-23
Business Address
MICHAEL MCKELVA
630 S FLEISHEL AVE
TYLER, TX 75701-2041
Phone number: 903-606-5560
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Mailing Address
MICHAEL MCKELVA
2120 N MACARTHUR BLVD SUITE 100
IRVING, TX 75061-2221
Phone number: 972-438-4636
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