Provider First Line Business Practice Location Address:
V A NORTH TEXAS HEALTH CARE SYSTEM (119)
Provider Second Line Business Practice Location Address:
4500 SOUTH LANCASTER ROAD
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75216-7191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-857-0561
Provider Business Practice Location Address Fax Number:
214-857-0585
Provider Enumeration Date:
09/01/2006