Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Dec 29, 2005
License(s)
F9120 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 840853 | Dallas, TX 75284-0853 | 972-715-5000 |
| LOCATION | 600 S TYLER ST STE 2100 | Amarillo, TX 79101-2304 | 972-715-5000 |
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