Provider First Line Business Practice Location Address:
6624 FANNIN
Provider Second Line Business Practice Location Address:
SUITE 2510, RENAL SPECIALISTS OF HOUSTON, PA
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-791-2648
Provider Business Practice Location Address Fax Number:
713-795-0717
Provider Enumeration Date:
07/03/2008