Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Sep 8, 2017
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 601 NORTHWEST PKWY STE C | Azle, TX 76020-2930 | 817-270-0777 |
| MAILING | 920 S KIMBALL AVE | Southlake, TX 76092-9016 | 817-527-3403 |
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