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6624 Fannie, Suite 2780 Houston, Texas 77030 (713) 7909401 Fax Number: (713) 7900353AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION TO TEXAS HEART MEDICAL GROUP Patient Name:
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www.mapquest.com/us/texas/texas-heart-medical-group is the website for Texas Heart Medical Group, a medical group specializing in heart health in Texas.
Texas Heart Medical Group or its authorized representatives are required to file www.mapquest.com/us/texas/texas-heart-medical-group.
To fill out www.mapquest.com/us/texas/texas-heart-medical-group, you may need to provide information about the medical group, its services, and contact details.
The purpose of www.mapquest.com/us/texas/texas-heart-medical-group is to provide information about Texas Heart Medical Group and its services to the public.
Information such as the medical group's name, address, services offered, and contact details must be reported on www.mapquest.com/us/texas/texas-heart-medical-group.
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