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1700334216
ANDREW TICE
DALLAS, TX
NPI
1700334216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10056100)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- ANDREW TICE MD
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-5000
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Mailing Address
-- ANDREW TICE MD
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number:
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