NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1770688210
BALLENTINE
PATRICIA
ROUISSE
7005 MIRA LOMA LN STE 102
AUSTIN
TX
78723
1619041415
ROGERS
WILLIAM
RANDOLPH
134 E SIERRA CIR
SAN MARCOS
TX
786662534
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