Provider First Line Business Practice Location Address:
400 W IH 635 FWY
Provider Second Line Business Practice Location Address:
NORTH TEXAS HEALTHCARE ASSOCIATES - PLAZA I, SUITE 210
Provider Business Practice Location Address City Name:
IRVING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75063-3718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-869-2772
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2007