Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
May 31, 2005
License(s)
N4888 (TX), N4888 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2000 MEDICAL DR | Lakeway, TX 78734-4200 | 512-000-0000 |
| MAILING | 207 CABO DEL SOL CV | Austin, TX 78738-1719 | 512-545-7842 |
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