Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jan 5, 2021
License(s)
SP-0241 (IA), SP-0241 (IA), 48097 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5323 HARRY HINES BLVD | Dallas, TX 75390-7201 | 214-648-8213 |
| MAILING | PO BOX 845347 | Dallas, TX 75284-5347 | 214-648-8213 |
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