Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Mar 27, 2017
License(s)
T0158 (TX), T0158 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 676638 | Dallas, TX 75267-6638 | |
| LOCATION | 2130 W HOLCOMBE BLVD FL 10 | Houston, TX 77030-3306 | 713-600-0900 |
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