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PART I GENERAL INFORMATION Requestor's Name and Address 4600 TEXAS GROUP 2777 ALLEN PARKWAY STE 460 HOUSTON TX 77019 Respondent Name and Box # CITY OF WACO Carrier Rep Box # 21 MFDR Tracking # DWC Claim # Injured Employee Date of Injury - -
Texas Workers' Compensation Appeal Decision
APPEAL NO. 030867
APPEAL NO. 040267
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Texas Workers’ Compensation Appeal Decision
Texas Department of Insurance Health and WC Network Certification &amp - tdi texas
Medical Contested Case Hearing No. 09165 Decision and Order
Section 1: Uninsured Individuals and Families - Texas Department ... - tdi texas
040606r.doc - tdi texas
APD 070533-s - Texas Department of Insurance - tdi texas
Medical Fee Dispute Resolution Findings and Decision
Appeal No. 041092
Appeal Decision
MEDICAL CONTESTED CASE HEARING NO 11151
012511 FILED DECEMBER 4, 2001 This appeal arises pursuant to the Texas Workers' Compensation Act, TEX - tdi texas
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Medical Fee Dispute Resolution Findings and Decision
Medical Fee Dispute Resolution Findings and Decision
Texas Workers’ Compensation Appeal No. 071398
021220r.doc - tdi texas
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Stranger-Owned Life Insurance: Zero Premium Life Insurance and ... - tdi texas
APPEAL NO. 040554
Certificate of Insurance
APPEAL NO. 022122
Appeal Decision for Workers' Compensation Case
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Appeal No. 030089
Decision and Order - Medical Contested Case Hearing No 11152
022974r.doc - tdi texas
Texas Workers' Compensation Appeal Decision
Health (High School) Curriculum Revision - tdi texas
061569 apd form
APPEAL NO. 032407
APPEAL NO. 111360 FILED DECEMBER 2, 2011 This appeal arises - tdi texas
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Texas Standardized Credentialing Application Attachment E ... - tdi texas
APPEAL NO. 110547 FILED JUNE 15, 2011 This appeal arises ... - tdi texas
APPEAL NO. 041331
APPEAL NO. 031519
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Requestor Name and Address AUSTIN PAIN ASSOCIATES 2501 W WILLIAM CANNON DRIVE SUITE 401 AUSTIN TX 78745 Respondent Name COMMERCE & INDUSTRY INSURANCE Carrier's Austin Representative Box Box Number 19 MFDR - tdi texas
Inspection Verification Form - Texas Department of Insurance ... - tdi texas
Workers' Compensation Appeal Decision
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022609r.doc - tdi texas
020486 FILED MARCH 26, 2002 This appeal arises pursuant to the Texas Workers' Compensation Act, TEX - tdi texas
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110432 FILED JUNE 9, 2011 This appeal arises pursuant to the Texas Workers' Compensation Act, TEX - tdi texas
Appeal Decision regarding Workers' Compensation case APPEAL NO. 110568
Texas Workers’ Compensation Appeal Decision
THE CLINIC FOR SPECIAL SURGERY 900 12TH AVENUE FORT WORTH TX 76104 - tdi texas
Workers' Compensation Appeal Decision
Texas Workers’ Compensation Appeal Decision
dwc066
Texas Workers’ Compensation Appeal No. 012620
Property and Casualty Filing Transmittal Form
Texas Workers' Compensation Appeal Decision
APPEAL NO. 033064
Texas Workers' Compensation Appeal Decision
Texas Workers' Compensation Appeal No. 040821
Notice to Employees Concerning Workers' Compensation in Texas - tdi texas
Appeal No. 060170-s
Evidence Can Quality Check Form
MEDICAL CONTESTED CASE HEARING NO. 10206
MEDICAL FEE DISPUTE RESOLUTION FINDINGS AND DECISION
Medical Fee Dispute Resolution Findings and Decision
Texas Workers’ Compensation Commission Appeal Decision