Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jun 30, 2005
License(s)
K6979 (TX), K6979 (TX), K6979 (TX), K6979 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 100 EXECUTIVE CENTER BLVD STE A | El Paso, TX 79902-1136 | 915-532-8233 |
| MAILING | 100 EXECUTIVE CENTER BLVD STE A | El Paso, TX 79902-1136 | 915-532-8233 |
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