Provider First Line Business Practice Location Address:
919 E 32ND ST
Provider Second Line Business Practice Location Address:
ST. DAVID'S MEDICAL CENTER NICU
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78705-2703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-544-4283
Provider Business Practice Location Address Fax Number:
512-544-8054
Provider Enumeration Date:
10/19/2009