Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 23, 2006
License(s)
G0647 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2698 N GALLOWAY AVE STE 105 | Mesquite, TX 75150-6383 | 972-613-4488 |
| LOCATION | 2698 N GALLOWAY AVE STE 105 | Mesquite, TX 75150-6383 | 972-613-4488 |
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