Provider First Line Business Practice Location Address:
8210 CALLAGHAN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78230-4775
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-233-7000
Provider Business Practice Location Address Fax Number:
210-348-9607
Provider Enumeration Date:
07/13/2010