Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jun 7, 2006
License(s)
K5442 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9225 KATY FWY STE 404 | Houston, TX 77024-1531 | 832-572-5533 |
| MAILING | 9225 KATY FWY STE 404 | Houston, TX 77024-1531 | 832-572-5533 |
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