NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1376821488 | CRUZ | WAYNE |   |   | 1104 W 34TH ST | AUSTIN | TX | 787051908 |
1467740753 | PLAKIAS | GARY | G. |   | 1104 W 34TH ST | AUSTIN | TX | 787051908 |
1740574300 | TOWNSEND | WILLIAM | LEE |   | 2910 SOUTH PADRE ISLAND DRIVE | CORPUS CHRISTI | TX | 78415 |