Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Apr 5, 2020
License(s)
U9193 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1900 SAINT JAMES PL STE 600 | Houston, TX 77056-4136 | 713-850-0240 |
| LOCATION | 1900 SAINT JAMES PL STE 600 | Houston, TX 77056-4136 | 713-850-0240 |
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