Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Dec 17, 2019
License(s)
47625 (TX), 57.247041 (OH), 47625 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2401 S 31ST ST | Temple, TX 76508-0001 | 254-724-2111 |
| MAILING | PO BOX 844658 | Dallas, TX 75284-4658 | 254-724-2111 |
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