NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1104867522
ALIPUI VAN LARE
CELESTINE
1 BAYLOR PLZ # BCM621
HOUSTON
TX
770303411
1023543170
KHAN
FAISAL
17200 ST LUKES WAY
THE WOODLANDS
TX
773848007
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