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1518051283
CAROL LACEY
HOUSTON, TX
NPI
1518051283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00702)
Enumeration Date
2006-10-03
Last Update Date
2011-08-11
Business Address
-- CAROL LACEY PA
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4095
Phone number: 713-792-6161
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Mailing Address
-- CAROL LACEY PA
P O BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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