Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 10, 2019
License(s)
U6182 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 840853 | Dallas, TX 75284-1543 | 972-233-1999 |
| LOCATION | 12222 MERIT DR STE 600 | Dallas, TX 75251-3294 | 972-715-5000 |
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