Provider First Line Business Practice Location Address:
2401 S 31ST ST
Provider Second Line Business Practice Location Address:
DIVISION OF PLASTIC SURGERY, SCOTT AND WHITE CLINIC
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-724-4059
Provider Business Practice Location Address Fax Number:
254-724-0315
Provider Enumeration Date:
01/17/2006