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Organization
SOLE PROPRIETOR
Active
Organization
SOLE PROPRIETOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHZAD CHOUDHRY M.D., (RESIDENT)
(432) 620-1048
Entity
Organization
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 620-1048
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 620-1048
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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