Provider First Line Business Practice Location Address:
1918 E RIVERSIDE DR
Provider Second Line Business Practice Location Address:
SOUTH AUSTIN MEDICAL & HEALTH CLINIC
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78741-1323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-326-9200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2006