Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 29, 2005
License(s)
H5293 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4660 SWEETWATER BLVD STE 190 | Sugar Land, TX 77479-3164 | 346-800-6001 |
| MAILING | PO BOX 5730 | Belfast, ME 04915-5700 |
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