Provider First Line Business Practice Location Address:
8523 ARKANSAS
Provider Second Line Business Practice Location Address:
NORTHSIDE HEALTH CENTER
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-696-5900
Provider Business Practice Location Address Fax Number:
713-694-4169
Provider Enumeration Date:
05/02/2007