Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 24, 2009
License(s)
257855 (MA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1600 COIT RD STE 104 | Plano, TX 75075-6171 | 972-566-5564 |
| MAILING | 7777 FOREST LN STE C106 | Dallas, TX 75230-6831 | 972-566-5564 |
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