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Parveen Athar M. D. Dr. Suur Biliciler M. D. Dr. Thy Nguyen M. D. Dr. Holly K. Varner M. D. Ana M. Hess EMG Tech Ph. EMG/NCS TEST REQUEST FORM THE UNIVERSITY OF TEXAS COMPREHENSIVE NEUROMUSCULAR PROGRAM AT THE HOUSTON HEALTH SCIENCE CENTER UT PHYSICIANS Neurology EMG Clinic First available EMG appointment Dr. 832 325-7573 Phone 832 325-7084 Fax 713 512-2239 0r 7146 ATTENTION Lenah or Yuri M. A. s Patient Name DOB IDX MRN Referring MD Date PLEASE FILL OUT DIAGNOSIS IS PATIENT TAKING ANY BLOOD...
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