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Individual

MR. JACOB BILL GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
4055 PARK LN, DALLAS, TX 75220-1811
(214) 298-8999
Mailing address
4055 PARK LN, DALLAS, TX 75220-1811
(214) 298-8999

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
208524
TX

Other

Enumeration date
09/10/2008
Last updated
09/10/2008
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