Provider First Line Business Practice Location Address:
1401 UNIVERSAL CITY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIVERSAL CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78148-3317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-336-1524
Provider Business Practice Location Address Fax Number:
210-346-0277
Provider Enumeration Date:
08/10/2007