Registry details
Type
Individual
Primary specialty
Hospitalist
Enumerated
Apr 17, 2019
License(s)
U9799 (TX), U9799 (TX), 313765 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 794 HOOVER DR | Carol Stream, IL 60188-1592 | |
| LOCATION | 921 GESSNER RD | Houston, TX 77024-2501 | 713-242-3768 |
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