Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 29, 2011
License(s)
PA07501 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5201 HARRY HINES BLVD | Dallas, TX 75235-7708 | 214-590-1837 |
| LOCATION | 5201 HARRY HINES BLVD | Dallas, TX 75235-7708 | 214-590-1837 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.