An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #J3194taxonomy 174400000X
Identifiers
Type
Value
Notes
05 (TX)
134126505
01 (TX)
J3194
TEXAS MEDICAL LICENSE
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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