Provider First Line Business Practice Location Address:
UT SOUTHWESTERN MEDICAL CENTER FRISCO
Provider Second Line Business Practice Location Address:
12500 DALLAS PKWY, 2ND FLOOR
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75033-9371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-604-9259
Provider Business Practice Location Address Fax Number:
469-604-9001
Provider Enumeration Date:
05/12/2020