Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 21, 2008
License(s)
45803 (TN), 21698 (MS), W0354 (TX), A108853 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1264 WESLEY DR STE 302 | Memphis, TN 38116-6445 | 901-260-2072 |
| LOCATION | 3100 N LEE TREVINO DR STE B | El Paso, TX 79936-2116 | 915-533-7465 |
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