Provider First Line Business Practice Location Address:
9644 COURT LANE DRIVE
Provider Second Line Business Practice Location Address:
WEST FAMILY CLINIC
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-613-4911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/29/2015