Provider First Line Business Practice Location Address:
9226 HAMMERLY BLVD
Provider Second Line Business Practice Location Address:
CLINICA PEDIATRICA HISPANA
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77080-5567
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-468-0222
Provider Business Practice Location Address Fax Number:
713-468-0233
Provider Enumeration Date:
07/11/2006