Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Aug 15, 2006
License(s)
241447 (NY), M5606 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2822 BARCLAY LAKE LN | Spring, TX 77388-6088 | 832-715-7626 |
| LOCATION | 2822 BARCLAY LAKE LN | Spring, TX 77388-6088 | 832-715-7626 |
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