Provider First Line Business Practice Location Address:
1504 TAUB LOOP
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
33606-3571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-326-0410
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2009