Provider First Line Business Practice Location Address:
1701 TRINITY STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF TEXAS, DELL MEDICAL SCHOOL
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78712-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-495-5132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2006