Provider First Line Business Mailing Address:
UNTHSC DEPT. OF QUALITY MANAGEMENT
Provider Second Line Business Mailing Address:
3500 CAMP BOWIE BLVD. EAD 324
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76107-2699
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-735-0111
Provider Business Mailing Address Fax Number: