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Organization

ANGELA FAIR

Active
Other names
Angela Fair
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA FAIR (OWNER)
(713) 365-0429
Entity
Organization

Contact information

Practice address
24102 STARGAZER PT, SPRING, TX 77373-7898
(713) 365-0429
Mailing address
24102 STARGAZER PT, SPRING, TX 77373-7898
(713) 365-0429
(713) 365-9238

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
01/11/2007
Last updated
08/22/2020
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