Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Apr 16, 2018
License(s)
S9248 (TX), S9248 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4700 SETON CENTER PARKWAY STE 200 | Austin, TX 78759-1869 | 512-439-1000 |
| LOCATION | 101 MEDICAL PKWY STE 120 | Lakeway, TX 78738-1869 | 512-439-1000 |
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