Provider First Line Business Practice Location Address:
HARRIS HEALTH LBJ HOSPITAL
Provider Second Line Business Practice Location Address:
5656 KELLEY ST,
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-325-7080
Provider Business Practice Location Address Fax Number:
713-512-2239
Provider Enumeration Date:
12/27/2012