Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 9, 2007
License(s)
M8470 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7300 BROMPTON ST APT # 5613 | Houston, TX 77025-2180 | 713-668-0144 |
| LOCATION | 2002 HOLCOMBE BLVD MICHAEL E. DEBAKEY VA MEDICAL CENTER | Houston, TX 77030-4211 | 713-791-1414 |
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