Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Dec 22, 2005
License(s)
M1466 (TX), M1446 (TX), M1446 (TX), DR.0050065 (CO)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4777 US HIGHWAY 259 | Longview, TX 75605-7668 | 903-663-7393 |
| LOCATION | 4777 US HIGHWAY 259 | Longview, TX 75605-7668 | 903-663-7393 |
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