Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 18, 2015
License(s)
A151259 (CA), S5818 (TX), 80339 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5822 WORTH PKWY STE 115 | San Antonio, TX 78257-5531 | 210-201-3456 |
| MAILING | 5822 WORTH PKWY STE 115 | San Antonio, TX 78257-5531 | 210-201-3456 |
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