Registry details
Type
Individual
Primary specialty
Physician Assistant, Surgical
Enumerated
Aug 31, 2020
License(s)
PA13461 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 11800 FM 1960 RD W | Houston, TX 77065-3840 | 281-955-7577 |
| LOCATION | 11800 FM 1960 RD W | Houston, TX 77065-3840 | 281-955-7577 |
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