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1861724312
JOSE GERARDO MENJIVAR
AUSTIN, TX
NPI
1861724312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP119012)
Enumeration Date
2010-02-09
Last Update Date
2020-06-23
Business Address
JOSE GERARDO MENJIVAR CRNA
3705 MEDICAL PKWY SUITE 570
AUSTIN, TX 78705-1019
Phone number: 512-454-2554
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Mailing Address
JOSE GERARDO MENJIVAR CRNA
PO BOX 840853
DALLAS, TX 75284-1019
Phone number: 972-233-1999
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