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Organization
WHARTON ANESTHESIA PA
Active
Organization
WHARTON ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ZBORIL (OWNER)
(713) 481-3533
Entity
Organization
Contact information
Practice address
411 N BELKNAP ST, STEPHENVILLE, TX 76401-3415
(713) 481-3533
(713) 432-0221
Mailing address
PO BOX 1276, STEPHENVILLE, TX 76401-0012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050006528
RAILROAD MEDICARE
TX
Enumeration date
12/06/2005
Last updated
03/20/2009
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