Provider First Line Business Practice Location Address: 
407 W INTERSTATE 30
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
GARLAND
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
75043-5912
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
972-303-3000
    Provider Business Practice Location Address Fax Number: 
972-303-3003
    Provider Enumeration Date: 
08/02/2006