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1922402841
ALICE CIVITELLO
HOUSTON, TX
NPI
1922402841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA00385)
Enumeration Date
2014-10-21
Last Update Date
2014-10-21
Business Address
-- ALICE CIVITELLO PA - C
6620 MAIN ST STE 1225
HOUSTON, TX 77030-2348
Phone number: 713-798-2545
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Mailing Address
-- ALICE CIVITELLO PA - C
1 BAYLOR PLZ
HOUSTON, TX 77030-3411
Phone number: 713-798-4951
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