Provider First Line Business Practice Location Address:
PRESBYTERIAN HOSPITAL OF DALLAS 8198 WALNUT HILL LN
Provider Second Line Business Practice Location Address:
JACKSON BLD. - NEUROINFORMATION CENTER 1ST FLOOR
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-345-6483
Provider Business Practice Location Address Fax Number:
214-345-8094
Provider Enumeration Date:
06/28/2006