Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 9, 2026
License(s)
LMRO2002161 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4711 THEALL RD | Houston, TX 77066-2652 | |
| LOCATION | 17375 SH249 S STA 2A1 | Houston, TX 77064 | 281-940-7444 |
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