Provider First Line Business Practice Location Address:
CENTRAL TEXAS MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1301 WONDER WORLD DRIVE
Provider Business Practice Location Address City Name:
SAN MARCOS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78666
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-753-3525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2007