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1790776326
WILLIAM LAWRENCE MIZE
GALVESTON, TX
NPI
1790776326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 01060385A)
Enumeration Date
2005-11-02
Last Update Date
2008-02-26
Business Address
-- WILLIAM LAWRENCE MIZE M.D.
400 HARBORSIDE DRIVE
GALVESTON, TX 77555-0001
Phone number: 409-747-7334
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Mailing Address
-- WILLIAM LAWRENCE MIZE M.D.
301 UNIVERSITY BLVD PROVIDER ENROLLMENT -- RT. 1022
GALVESTON, TX 77555-5302
Phone number: 409-747-7334
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