Provider First Line Business Practice Location Address:
2000 SCENIC DR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
GEORGETOWN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78626-7726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-943-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2006