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1952912917
SHIV BHAKTA
CARROLLTON, TX
NPI
1952912917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16244)
Enumeration Date
2020-08-13
Last Update Date
2023-04-20
Business Address
SHIV BHAKTA PA
1601 W HEBRON PKWY STE 100
CARROLLTON, TX 75010-6342
Phone number: 972-426-8675
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Mailing Address
SHIV BHAKTA PA
1601 W HEBRON PKWY STE 100
CARROLLTON, TX 75010-6342
Phone number: 972-426-8675
Copy
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