Provider First Line Business Practice Location Address:
BAYLOR SCOTT & WHITE MEDICAL PSYCHOLOGY CONSULTANTS
Provider Second Line Business Practice Location Address:
3600 GASTON AVENUE, BARNETT TOWER - SUITE 404
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75246-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-820-5516
Provider Business Practice Location Address Fax Number:
214-820-5518
Provider Enumeration Date:
04/05/2006