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1659478048
KUJTIM ISMAIL HADERXHANAJ
HOUSTON, TX
NPI
1659478048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX pa 01344)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- KUJTIM ISMAIL HADERXHANAJ PA
2002 HOLCOMBE BLVD
HOUSTON, TX 77030-4211
Phone number: 713-794-8026
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Mailing Address
-- KUJTIM ISMAIL HADERXHANAJ PA
323 OTTER RD. CR 1 #193
ANAHUAC, TX 77514
Phone number: 713-884-0378
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