Provider Information for 1467917500
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JOVARIA BAIG
Sex: Female
NPI: 1467917500
Last Updated: 2019-06-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1467917500 | ||||||||
| Enumeration Date | 2019-02-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6901 HANSELL RD APT 6404 PLANO, TX 75024-4218 United States Phone: 469-410-5561 | Fax: | ||||||||
| Primary Practice Address | 6901 HANSELL RD APT 6404 PLANO, TX 75024-4218 United States Phone: 469-410-5561 | Fax: | ||||||||
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