Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Feb 9, 2007
License(s)
Temp Licence (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 9116 DILLON TRAIL | Irving, TX 75063 | 214-683-1454 |
| LOCATION | 6161 HARRY HINES BLVD SUITE 100 | Dallas, TX 75235-5387 | 214-267-1010 |
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