Provider First Line Business Practice Location Address:
UIW HEALTH SERVICES
Provider Second Line Business Practice Location Address:
4301 BROADWAY
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-829-3175
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2006