Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 16, 2016
License(s)
PA10880 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 815 MARKET ST | Galveston, TX 77550-2725 | |
| LOCATION | 815 MARKET ST | Galveston, TX 77550-2725 | 409-770-6600 |
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