Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 18, 2024
License(s)
PA18425 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 35629 | Dallas, TX 75235-0629 | 214-424-2200 |
| LOCATION | 3144 HORIZON RD STE 210 | Rockwall, TX 75032-7047 | 972-771-2222 |
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