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NPI 1598182107 · on the registry since 2014 · sole proprietor

Practice

Address
1102 Lourock St
Garland, TX 75040
Phone
(706) 414-9354

Registry record

Primary taxonomy
251B00000X
251B00000X
Sex
Male
Record last updated
2014-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas