Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 6, 2022
License(s)
pa15504 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6060 N CENTRAL EXPY STE 500 | Dallas, TX 75206-5249 | 469-387-5390 |
| LOCATION | 6060 N CENTRAL EXPY STE 500 | Dallas, TX 75206-5249 | 469-387-5390 |
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