NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750310009 | BUTCHER | LARRY |   |   | PO BOX 301173 | DALLAS | TX | 753031173 |
1982639860 | FOWLER | GRANT | C |   | PO BOX 301448 | DALLAS | TX | 753031448 |
1720013626 | NGUYEN | PHUC | D |   | 6410 FANNIN ST STE 170 | HOUSTON | TX | 770303003 |