Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Feb 26, 2024
License(s)
PA17583 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6431 FANNIN ST # 3.286 | Houston, TX 77030-1501 | |
| LOCATION | 6410 FANNIN ST STE 350 | Houston, TX 77030-3004 | 832-325-7200 |
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