Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jan 30, 2006
License(s)
tx 02-102 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 29910 FM 3009 | New Braunfels, TX 78132-2637 | 830-885-5042 |
| LOCATION | BAMC 3851ROGER BROOKE DR.MCHE-QD (CRED) | Ft Sam Houston, TX 78234-6200 | 210-916-5000 |
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