Provider First Line Business Practice Location Address:
3501 MILLS AVE
Provider Second Line Business Practice Location Address:
AMEP-SETON SHOAL CREEK HOSPITAL
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78731-6309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-324-2080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007