Provider First Line Business Practice Location Address:
1935 MEDICAL DISTRICT DR.
Provider Second Line Business Practice Location Address:
CHILDRENS MEDICAL CENTER P. M. & R. DEPT
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-456-2778
Provider Business Practice Location Address Fax Number:
214-456-8107
Provider Enumeration Date:
02/26/2010