Provider First Line Business Mailing Address:
2401 SOUTH 31ST STREET,MS-CK-300
Provider Second Line Business Mailing Address:
BAYLOR SCOTT & WHITE MEDICAL CENTER-TEMPLE,
Provider Business Mailing Address City Name:
TEMPLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number: