Provider First Line Business Practice Location Address:
1801 INWOOD RD DEPT OF ORTHOPEDICS SUITE WA4.300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-2553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-645-3300
Provider Business Practice Location Address Fax Number:
214-645-3301
Provider Enumeration Date:
10/09/2008