Provider First Line Business Practice Location Address:
6720 BERTNER ST
Provider Second Line Business Practice Location Address:
DEPT. OF NUCLEAR MEDICINE - SLEH MC3-261
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-355-2065
Provider Business Practice Location Address Fax Number:
832-366-3363
Provider Enumeration Date:
09/14/2005