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1598725186
FLOYD SHIZUO OTA
FORT WORTH, TX
NPI
1598725186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: TX L5500)
Enumeration Date
2006-03-27
Last Update Date
2021-05-05
Business Address
FLOYD SHIZUO OTA MD
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-3199
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Mailing Address
FLOYD SHIZUO OTA MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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