Provider First Line Business Practice Location Address:
103 UNIVERSITY HOSPITAL CLINICS
Provider Second Line Business Practice Location Address:
301 UNIVERSITY BOULEVARD DEPT RADIOLOGY, 2.
Provider Business Practice Location Address City Name:
GALVESTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77555-0709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-747-0100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2006