ProviderBusinessMailingAddressFaxNumber = '3614130274'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1013548189 | ALOZIE | GRACE | OVUEGBE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1003488255 | AVILES | STEPHANIE | ANNE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1205461985 | BURNETTE | ASHLEY | NICOLE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1518502160 | CROWSON | BRANDY | LYNN | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1023209202 | DAY | BARAKAH | LOUISE REGINA | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1154949600 | DREDLA | MARKA | JANE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1427526839 | FERRIS | CHRISTINA | | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1316577992 | FLORES | CYNTHIA | ELAINE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1578028767 | FRESCAS | FERNANDO | | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1851445506 | HAWKINS-ALPRIN | LINDSEY | MARIE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1912579541 | HINZE | CHRISTINE | NICOLE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1265002919 | HUMPHREY | SHANNON | MARIE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1003926973 | HUSAYN | FAROOQ | JAMEEL | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1598326597 | LINDER | JONATHAN | WESLEY | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1427683275 | LOBRECHT | STEPHANIE | MARIE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1013599117 | MARSHALL | SARA | CATHERINE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1033710074 | MENDIOLA | BROOKE | | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1912231861 | PARKER | STACY | LYNNE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1134710411 | SARABIA | JESSICA | LAURA | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1255926424 | SIMS | PATRICK | STEPHEN | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1255322590 | TSCHOEPE-WHITE | LEAHGAIL | | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1437786555 | VALA | JENNIFER | | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
| 1932749892 | ZAPLAC | TRAVIS | WAYNE | | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |
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