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1730164831
TOBIN JAY BUSHONG
HOUSTON, TX
NPI
1730164831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA03483)
Enumeration Date
2005-12-12
Last Update Date
2021-04-22
Business Address
Mr. TOBIN JAY BUSHONG PA
12835 GULF FWY
HOUSTON, TX 77034-4807
Phone number: 713-436-3488
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Mailing Address
Mr. TOBIN JAY BUSHONG PA
7401 MAIN ST
HOUSTON, TX 77030-4509
Phone number: 713-436-3488
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