Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 21, 2011
License(s)
R4654 (TX), 20a12417 (CA), R4654 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3136 HORIZON RD STE 100 | Rockwall, TX 75032-7808 | 972-475-8914 |
| LOCATION | 3136 HORIZON RD STE 100 | Rockwall, TX 75032 | 972-475-8914 |
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