Provider First Line Business Practice Location Address:
1801 INWOOD RD
Provider Second Line Business Practice Location Address:
DEPT OF PLASTIC SURGERY
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-9132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-645-3101
Provider Business Practice Location Address Fax Number:
214-645-3105
Provider Enumeration Date:
07/29/2006