Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 10, 2017
License(s)
s7162 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3615 19TH ST DEPT OF | Lubbock, TX 79410-1209 | 806-725-0000 |
| MAILING | 355 BARD AVE DEPARTMENT OF MEDICINE VILLA BLDG | Staten Island, NY 10310-1664 | 718-818-2419 |
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