ProviderBusinessMailingAddressFaxNumber = '2148236638'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1861666018
CLINICA MEDICA DE DALLAS, P.A.
4811A COLUMBIA AVE
DALLAS
TX
752261034
1003005323
QUIROZ
JUAN
F
4811A COLUMBIA AVE
DALLAS
TX
752261034
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