Provider First Line Business Practice Location Address:
2350 N. STEMMONS FWY (I-35)
Provider Second Line Business Practice Location Address:
DALLAS AMBULATORY CARE PAVILLION
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-456-4630
Provider Business Practice Location Address Fax Number:
214-456-5406
Provider Enumeration Date:
05/13/2009