Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 1, 2022
License(s)
1054442 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 507 CALLES ST | Austin, TX 78702-3954 | 855-481-8375 |
| MAILING | 11300 N LAMAR BLVD | Austin, TX 78753-2665 | 866-389-2727 |
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