Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Oct 2, 2006
License(s)
F6381 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4402 N LAURENT SUITE A | Victoria, TX 77901 | 361-578-3549 |
| LOCATION | 4402 N LAURENT SUITE A | Victoria, TX 77901 | 361-578-3549 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.