Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jul 15, 2024
License(s)
1168665 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5209 MCDADE DR | Austin, TX 78735-6398 | 214-738-4001 |
| MAILING | 110 E HOUSTON ST FL 7 | San Antonio, TX 78205-2991 | 210-572-4931 |
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