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Individual

RUSTY MIKOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
9494 KIRBY DR, HOUSTON, TX 77054-2521
(713) 791-9080
(713) 791-9084
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268
(423) 362-5413

Taxonomy

Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary

Other

Enumeration date
10/07/2019
Last updated
10/07/2019
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