Provider First Line Business Practice Location Address:
9835 LAKE CREEK PKWY
Provider Second Line Business Practice Location Address:
PEDIATRIC EMERGENCY ROOM
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-828-3660
Provider Business Practice Location Address Fax Number:
832-825-9187
Provider Enumeration Date:
09/27/2005