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1982148326
POLAVARAPU PLASTIC SURGERY, PLLC
FORT WORTH, TX
NPI
1982148326
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Entity Type
Organization
Authorized Contact
KIRAN POLAVARAPU
Owner
817-615-8576
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: TX Q0809)
Enumeration Date
2016-12-05
Last Update Date
2017-01-31
Business Address
POLAVARAPU PLASTIC SURGERY, PLLC
4455 CAMP BOWIE BLVD SUITE 114-30
FORT WORTH, TX 76107-3864
Phone number: 773-710-6128
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Mailing Address
POLAVARAPU PLASTIC SURGERY, PLLC
4455 CAMP BOWIE BLVD SUITE 114-30
FORT WORTH, TX 76107-3864
Phone number: 773-710-6128
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