Provider First Line Business Practice Location Address:
3500 W WHEATLAND RD
Provider Second Line Business Practice Location Address:
WOMENS CENTER
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75237-3460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-947-7281
Provider Business Practice Location Address Fax Number:
214-947-0345
Provider Enumeration Date:
11/28/2009