Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Oct 10, 2005
License(s)
H8559 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 800 ROCKMEAD DR STE 210 | Kingwood, TX 77339 | 281-359-7788 |
| LOCATION | 110 SHULT DR | Columbus, TX 78934-3016 | 281-359-7788 |
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