Registry details
Type
Individual
Primary specialty
Hospitalist
Enumerated
Apr 23, 2009
License(s)
122361 (OH), 334336 (LA), S1545 (TX), S1545 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 17201 INTERSTATE 45 S | Shenandoah, TX 77385-3311 | 936-270-2099 |
| MAILING | PO BOX 3345 | Houston, TX 77253-3345 | 713-796-9955 |
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