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1902644545
OTTO PENALVER PACHECO
KATY, TX
NPI
1902644545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1023204)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
OTTO PENALVER PACHECO APRN CNP
23217 RED RIVER DR
KATY, TX 77494-2031
Phone number: 832-913-3262
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Mailing Address
OTTO PENALVER PACHECO APRN CNP
21023 BELMONT VILLAGE WAY
KATY, TX 77449-3193
Phone number:
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