Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Aug 13, 2018
License(s)
PA12103 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2665 SILVER HILL DR | Fort Worth, TX 76131-2086 | 817-896-9962 |
| LOCATION | 5200 HARRY HINES BLVD | Dallas, TX 75235-7709 | 214-590-8000 |
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