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1861024622
TIMOTHY WAYNE STARK
AUSTIN, TX
NPI
1861024622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
TIMOTHY WAYNE STARK
4532 W GATE BLVD STE 100
AUSTIN, TX 78745-1463
Phone number: 512-892-7337
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Mailing Address
TIMOTHY WAYNE STARK
12508 JONES MALTSBERGER RD STE 110
SAN ANTONIO, TX 78247-4215
Phone number: 210-590-4000
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