Provider First Line Business Practice Location Address:
NASA JOHNSON SPACE CENTER FLIGHT MEDICINE CLINIC
Provider Second Line Business Practice Location Address:
2101 NASA ROAD ONE
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-483-7999
Provider Business Practice Location Address Fax Number:
281-483-3392
Provider Enumeration Date:
01/24/2006