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1679914188
TIMMY NOVAK
FORT WORTH, TX
NPI
1679914188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08652)
Enumeration Date
2013-07-12
Last Update Date
2016-05-17
Business Address
-- TIMMY NOVAK
1661 EASTCHASE PKWY
FORT WORTH, TX 76120-4407
Phone number: 817-459-2005
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Mailing Address
-- TIMMY NOVAK
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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