Provider First Line Business Practice Location Address:
3001 KNOX ST
Provider Second Line Business Practice Location Address:
SUITE #300
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75205-5584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-265-7771
Provider Business Practice Location Address Fax Number:
214-219-1098
Provider Enumeration Date:
08/03/2006