Registry details
Type
Organization
Primary specialty
Physician Assistant
Enumerated
Dec 14, 2006
License(s)
D5588 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 3756 | Port Arthur, TX 77643 | 409-982-5110 |
| LOCATION | 4500 GULFWAY DRIVE | Port Arthur, TX 77642 | 409-982-5110 |
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