Provider First Line Business Practice Location Address:
6838 ALAMO PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-233-7000
Provider Business Practice Location Address Fax Number:
210-438-9064
Provider Enumeration Date:
09/03/2006