NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1972723583
ELZAIM
HAISSAM
S
PO BOX 4624
MCALLEN
TX
78502
1144845249
SALAS
CARLOS
HUMBERTO
2108 E 19TH ST
MISSION
TX
785723287
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