AGREEMENT REPRESENTATIVES. The following will act as the Representative authorized to administer activities under this Agreement on behalf of their respective Party. HHSC OIG Name: Xxxxx Xxxx Title: Contract Administration Manager Mailing Address: P.O. Box 85200, Mail Code 1300, Austin TX 787058-5200 Phone Number: (000) 000-0000 Email Address: XX_Xxxxxxxxx@xxx.xxxxx.xxx Expert Name: Xx. Xxxxxxx X. Siedow dba Little Sonrisas Pediatric Dentistry PLLC Mailing Address: , TX, 78504 Phone Number: (000) 000-0000 Email Address:
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Samples: Expert Witness Agreement
AGREEMENT REPRESENTATIVES. The following will act as the Representative authorized to administer activities under this Agreement on behalf of their respective Party. HHSC HHS-OIG Name: Xxxxx Xxxx Title: Contract Administration Manager Mailing Address: P.O. Box 85200, Mail Code 13000000 Xxxxxxxxx Xxxxxx, Austin TX 787058-5200 78751 Phone Number: (000) 000-0000 Email Address: XX_Xxxxxxxxx@xxx.xxxxx.xxx Expert Name: Xx. Xxxxxxx X. Siedow dba Little Sonrisas Pediatric Dentistry PLLC Xxxxx, III Mailing Address: , TX, 78504 Austin TX 78703 Phone Number: (000) 000-0000 Email Address:: xxxxx@xxx.xxx
Appears in 1 contract
Samples: HHSC Contract
AGREEMENT REPRESENTATIVES. The following will act as the Representative authorized to administer activities under this Agreement on behalf of their respective Party. HHSC HHS-OIG Name: Xxxxx Xxxx Title: Contract Administration Manager Mailing Address: P.O. Box 85200, Mail Code 13000000 Xxxxxxxxx Xxxxxx, Austin TX 787058-5200 78751 Phone Number: (000) 000-0000 Email Address: XX_Xxxxxxxxx@xxx.xxxxx.xxx IG Xxxxxxxxx@xxx.xxxxx.xxx Expert Name: Xx. Xxxxxxx X. Siedow dba Little Sonrisas Pediatric Dentistry PLLC Mailing Address: , TX, 78504 Phone Number: (000) 000-0000 Email Address:Xxxxxx Xxxxxxx
Appears in 1 contract
Samples: HHSC Contract
AGREEMENT REPRESENTATIVES. The following will act as the Representative authorized to administer activities under this Agreement on behalf of their respective Party. HHSC OIG Name: Xxxxx Xxxx Title: Contract Administration Manager Mailing Address: P.O. Box 85200, Mail Code 1300, Austin TX 787058-5200 Phone Number: (000) 000-0000 Email Address: XX_Xxxxxxxxx@xxx.xxxxx.xxx Expert Name: Xx. Xxxxxxx X. Siedow dba Little Sonrisas Pediatric Dentistry PLLC Xxxxxx R. Xxxxxx XX, DDS, MS Mailing Address: 0000 Xxxxxxx Xxxxx, TXXxxxxxxxx, 78504 XX 00000 Phone Number: (000) 000-0000 Email Address:: XXXXXX@xxxxx.xxx
Appears in 1 contract
Samples: Expert Witness Agreement
AGREEMENT REPRESENTATIVES. The following will act as the Representative authorized to administer activities under this Agreement on behalf of their respective Party. HHSC HHS-OIG Name: Xxxxx Xxxx Title: Contract Administration Manager Mailing Address: P.O. Box 85200, Mail Code 13000000 Xxxxxxxxx Xxxxxx, Austin TX 787058-5200 78751 Phone Number: (000) 000-0000 Email Address: XX_Xxxxxxxxx@xxx.xxxxx.xxx IG Xxxxxxxxx@xxx.xxxxx.xxx Expert Name: Xx. Xxxxxxx Xxxxxx X. Siedow dba Little Sonrisas Pediatric Dentistry PLLC Mailing Address: Xxxxx, TXMS, 78504 Phone Number: (000) 000LPC-0000 Email Address:S, PSS
Appears in 1 contract
Samples: HHSC Contract