Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 6, 2006
License(s)
PA03124 (TX), PA03124 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 710 FM 1960 WEST | Houston, TX 77090 | 281-440-2543 |
| LOCATION | 710 FM 1960 WEST | Houston, TX 77090 | 281-440-2543 |
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