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1689963357
JOSE LUIS ENRIQUEZ
TYLER, TX
NPI
1689963357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX P5358)
Enumeration Date
2011-04-04
Last Update Date
2020-11-18
Business Address
JOSE LUIS ENRIQUEZ M.D.
627 TURTLE CREEK DR
TYLER, TX 75701-1832
Phone number: 903-593-2539
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Mailing Address
JOSE LUIS ENRIQUEZ M.D.
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404
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