Provider First Line Business Practice Location Address: 
929 GESSNER RD.
    Provider Second Line Business Practice Location Address: 
SUITE 2225
    Provider Business Practice Location Address City Name: 
HOUSTON
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
77024-2501
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
713-365-2900
    Provider Business Practice Location Address Fax Number: 
713-984-6525
    Provider Enumeration Date: 
03/07/2007