Provider First Line Business Practice Location Address:
3200 TALON DR STE 300
Provider Second Line Business Practice Location Address:
IMEDICINE AND PRIMARY CARE ASSOC., PLLC
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75082-9706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-649-5937
Provider Business Practice Location Address Fax Number:
972-807-0385
Provider Enumeration Date:
05/19/2006