Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 26, 2005
License(s)
PA04496 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 950 N 19TH ST STE 100 | Abilene, TX 79601-2420 | 325-670-3770 |
| MAILING | 950 N 19TH ST STE 100 | Abilene, TX 79601-2420 | 325-670-3770 |
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