Provider First Line Business Practice Location Address:
SCOTT & WHITE MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
2401 S 31ST ST, ENT 4C
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-931-4974
Provider Business Practice Location Address Fax Number:
254-743-0423
Provider Enumeration Date:
08/30/2006