Provider First Line Business Practice Location Address:
2600 SOUTH FIRST STREET (HSC)
Provider Second Line Business Practice Location Address:
POLYSOMNOGRAPHY
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-298-8673
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2012