Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Dec 5, 2014
License(s)
PA09520 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 4439 | Houston, TX 77210-4439 | 713-792-2991 |
| LOCATION | 1515 HOLCOMBE BLVD | Houston, TX 77030-4000 | 713-792-6161 |
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