Provider First Line Business Practice Location Address:
5505 W. PARMER LANE, BUILDING 4
Provider Second Line Business Practice Location Address:
AT APPLE WELLNESS CENTER
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78727
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-215-3296
Provider Business Practice Location Address Fax Number:
512-910-2826
Provider Enumeration Date:
08/24/2015