Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Nov 29, 2006
License(s)
P8104 (TX), A77865 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 12222 MERIT DR STE 600 | Dallas, TX 75251-3294 | 972-715-5000 |
| MAILING | PO BOX 840853 | Dallas, TX 75284-0853 | 972-233-1999 |
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