Provider First Line Business Practice Location Address:
2401 S. 31ST STREET
Provider Second Line Business Practice Location Address:
SCOTT & WHITE MEMORIAL HOSPITAL ORTHOPEDICS DEPT.
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-724-6262
Provider Business Practice Location Address Fax Number:
254-724-7791
Provider Enumeration Date:
09/08/2009