Provider First Line Business Practice Location Address:
7400 BARLITE BLVD
Provider Second Line Business Practice Location Address:
SPALDING REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78224-1308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-403-2028
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2005