BBI Educational Dinner Registration | Dr. Esther Han

Rapid Access to Advanced Bladder & Bowel Control

Monday, September 14, 2026 | Check-in: 6:30 PM

The Capital Grille | 7300 Dallas Parkway • Plano, TX 75024

Presented by:

Dr. Esther Han

DO, FACS, FACOS
Director of Pelvic Health | Fellowship-trained FPMRS

This educational dinner is limited to practicing physicians and nurse practitioners with a bona fide professional interest in the program. Registration is subject to verification.

First Name*

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Last Name*

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Professional Designation*

Please select your professional designation.

NPI Number*

10 digits, no dashes or spaces.

NPI must be exactly 10 digits.

Specialty*

Please select at least one specialty.

Practice or Organization Name*

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Practice City*

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Practice ZIP Code*

5 digits.

ZIP code must be exactly 5 digits.

Cell Phone Number*

10 digits, e.g. (555) 123-4567.

Please enter a valid 10-digit phone number.

Professional Email Address*

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Dietary Restrictions or Food Allergies

I confirm that I am a practicing physician or nurse practitioner and am attending this event for a legitimate educational or business purpose.*

You must confirm eligibility to register.

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