Provider First Line Business Practice Location Address:
407 CRAIGMONT LANE
Provider Second Line Business Practice Location Address:
TEAM SURGICAL ASSIST
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-269-9979
Provider Business Practice Location Address Fax Number:
210-979-6011
Provider Enumeration Date:
10/13/2006