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1780310128
TERAH TRAIL
AUSTIN, TX
NPI
1780310128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA18126)
Enumeration Date
2022-07-27
Last Update Date
2024-10-30
Business Address
TERAH TRAIL PA
5625 EIGER RD STE 200
AUSTIN, TX 78735-8982
Phone number: 512-892-7076
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Mailing Address
TERAH TRAIL PA
5625 EIGER RD STE 200
AUSTIN, TX 78735-8982
Phone number: 512-892-7076
Copy
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