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1871235317
THERESE MARIE VIDAL
AUSTIN, TX
NPI
1871235317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX BP10079252)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
THERESE MARIE VIDAL MD
1500 RED RIVER ST
AUSTIN, TX 78701-1918
Phone number: 512-324-7000
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Mailing Address
THERESE MARIE VIDAL MD
1701 TRINITY ST BLDG STOP
AUSTIN, TX 78712-1869
Phone number: 786-683-9899
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