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1790310449
IVAN JESUS PALACIOS
HOUSTON, TX
NPI
1790310449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA14405)
Enumeration Date
2020-03-03
Last Update Date
2023-11-27
Business Address
Mr. IVAN JESUS PALACIOS
6621 FANNIN ST
HOUSTON, TX 77030-2399
Phone number: 832-824-1000
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Mailing Address
Mr. IVAN JESUS PALACIOS
1109 E 5TH ST APT 1422
AUSTIN, TX 78702-3989
Phone number: 830-613-5621
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