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Individual

MR. JOSE' RAMON DECLET II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4250 HWY 202, UTMB/GARZA UNIT, BEEVILLE, TX 78102
(361) 358-9890
(361) 362-6654
Mailing address
4250 HWY 202, UTMB, BEEVILLE, TX 78102
(361) 358-9890
(361) 362-6654

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01526
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA01526
TDCJ STATE PRISON
TX
Enumeration date
02/02/2015
Last updated
02/02/2015
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