Provider First Line Business Practice Location Address:
6811 AUSTIN CENTER BLVD
Provider Second Line Business Practice Location Address:
SPECIALLY FOR CHILDREN
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78731-3146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-628-1850
Provider Business Practice Location Address Fax Number:
512-628-1851
Provider Enumeration Date:
05/15/2007