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Individual

MARIYA PORETSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
6431 FANNIN ST, MSB 5.020, HOUSTON, TX 77030-1501
(713) 500-6200
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
04/30/2012
Last updated
10/24/2016
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