Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 19, 2006
License(s)
K6523 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 712 N WASHINGTON AVE SUITE 101 | Dallas, TX 75246-1619 | 214-826-8822 |
| LOCATION | 3500 GASTON AVENUE | Dallas, TX 75246 | 214-826-8822 |
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