Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 20, 2020
License(s)
BP10070754 (TX), MD61677657 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 301 UNIVERSITY BOULEVARD, 5.504 JEANIE SEALY HOSPITAL | Galveston, TX 77555-0877 | 409-266-7811 |
| MAILING | PO BOX 840842 | Dallas, TX 75284-0842 | 206-625-0578 |
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