Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 21, 2015
License(s)
PA09252 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5201 HARRY HINES BLVD | Dallas, TX 75235-7708 | |
| LOCATION | 5201 HARRY HINES BLVD | Dallas, TX 75235-7708 | 972-921-3126 |
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