Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Oct 10, 2017
License(s)
AP134526 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 7700 FISH POND RD | Waco, TX 76710-1031 | 254-761-4444 |
| MAILING | PO BOX 844658 | Dallas, TX 75284-4658 | 254-724-2111 |
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