Provider First Line Business Mailing Address:
PO BOX 845347
Provider Second Line Business Mailing Address:
DEPT. PSYCHIATRY, UT SOUTHWESTERN MED CTR.
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75284-5347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-648-7312
Provider Business Mailing Address Fax Number:
214-648-7370