Provider First Line Business Practice Location Address:
1102 BATES AVE.,
Provider Second Line Business Practice Location Address:
BAYLOR COLLEGE OF MEDICINE
Provider Business Practice Location Address City Name:
HOUSTON, TX
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-824-3800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2014