Provider First Line Business Practice Location Address:
3500 SOUTH TERMINAL RD.
Provider Second Line Business Practice Location Address:
TERMINAL C TAKECARE MEDICAL CLINIC
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-553-1700
Provider Business Practice Location Address Fax Number:
281-553-1701
Provider Enumeration Date:
05/16/2007