Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Jun 1, 2009
License(s)
R1926 (TX), R1926 (TX), R1926 (TX), R1926 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2805 PRINCE GEORGE AVE | Desoto, TX 75115-2047 | 972-572-1122 |
| LOCATION | 2805 PRINCE GEORGE AVE | Desoto, TX 75115-2047 | 214-269-3326 |
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