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1659780146
STEPHEN TYLER INGRAM
AUSTIN, TX
NPI
1659780146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-08-08
Last Update Date
2016-11-22
Business Address
Mr. STEPHEN TYLER INGRAM PA
1010 W 40TH ST
AUSTIN, TX 78746
Phone number: 512-459-8753
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Mailing Address
Mr. STEPHEN TYLER INGRAM PA
1010 W 40TH ST
AUSTIN, TX 78756-4010
Phone number: 512-459-8753
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