Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Feb 6, 2007
License(s)
Q4879 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 7000 BRYANT IRVIN RD STE 108 | Fort Worth, TX 76132-4251 | 817-579-2020 |
| MAILING | 7000 BRYANT IRVIN RD STE 108 | Fort Worth, TX 76132-4251 | 682-499-2663 |
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