Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 15, 2011
License(s)
MT199870 (PA), R3783 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5002 COWHORN CREEK RD | Texarkana, TX 75503-9766 | 903-614-3000 |
| MAILING | 5002 COWHORN CREEK RD | Texarkana, TX 75503-9766 | 903-614-3000 |
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