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1518429323
JELIX AMBATTU THOMAS
DALLAS, TX
NPI
1518429323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX T0017)
Enumeration Date
2019-04-01
Last Update Date
2024-05-17
Business Address
JELIX AMBATTU THOMAS
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-0111
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Mailing Address
JELIX AMBATTU THOMAS
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number:
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