Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Feb 26, 2007
License(s)
M5997 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2206 CLUB CREEK CIR | Garland, TX 75043-1479 | |
| LOCATION | 2206 CLUB CREEK CIR | Garland, TX 75043-1479 | 214-598-7927 |
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