| Provider Type: | Other Service Providers |
| Provider Classification: | Specialist |
| Definition of Specialization: | |
| Address: |
1005 W Ralph Hall Pkwy Suite 241 Rockwall, TX 75032-6658 |
| Phone: | (972) 788-4442 |
| Fax: | (972) 788-4971 |
| Gender: | Male |
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