Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
May 30, 2019
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 221 W COLORADO BLVD STE 525 | Dallas, TX 75208-2312 | 214-960-5681 |
| LOCATION | 221 W COLORADO BLVD STE 525 | Dallas, TX 75208-2312 | 214-960-5681 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.