Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Aug 24, 2005
License(s)
L1788 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 610 UPTOWN BLVD STE 610 | Cedar Hill, TX 75104-3528 | 972-283-8979 |
| MAILING | 9900 N CENTRAL EXPY STE 500 | Dallas, TX 75231-0928 | 214-987-3376 |
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