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1558462812
LAKE JACKSON UROLOGY PA
LAKE JACKSON, TX
NPI
1558462812
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Entity Type
Organization
Authorized Contact
PHILMORE BLAKE
President
979-297-9488
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-09-26
Last Update Date
2020-08-22
Business Address
LAKE JACKSON UROLOGY PA
188 ABNER JACKSON PKWY
LAKE JACKSON, TX 77566-5160
Phone number: 979-297-9488
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Mailing Address
LAKE JACKSON UROLOGY PA
188 ABNER JACKSON PKWY
LAKE JACKSON, TX 77566-5160
Phone number:
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