Provider First Line Business Practice Location Address:
9441 LBJ FREEWAY #101
Provider Second Line Business Practice Location Address:
SUPPLEMENTAL HEALTH CARE
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-575-9820
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2009