Gender: M

Race: C

Birth Date: 09/10/1922

Death Date: 03/24/1971

Place of Birth: Granville, TN

Year Medical License Issued: 1951

Medical School: Tulane Univ. Medical School, New Orleans

Medical School Location: LA

Degree: MD

Graduation Date: 1950

References:

Certified by TX Board?: Y

Location: Fort Worth

Specialty:

Secondary Specialty:

Notes: