Registry details
Type
Organization
Primary specialty
Physician Assistant
Enumerated
Jan 24, 2023
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 11614 BEE CAVES RD STE 130 | Austin, TX 78738-5551 | 512-662-4800 |
| MAILING | 4312 SAINT ELIAS ST | Austin, TX 78738-4061 |
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