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1710199724
GREG THAERA
AUSTIN, TX
NPI
1710199724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX P5743)
Enumeration Date
2007-05-03
Last Update Date
2022-01-25
Business Address
-- GREG THAERA M.D.
12221 N MOPAC EXPY
AUSTIN, TX 78758-2401
Phone number: 512-901-4011
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Mailing Address
-- GREG THAERA M.D.
12221 N MOPAC EXPY
AUSTIN, TX 78758-2401
Phone number: 512-901-4011
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