Provider First Line Business Practice Location Address:
4439 E SOUTHCROSS BLVD
Provider Second Line Business Practice Location Address:
RENAL ASSOCIATES PA
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78222-7822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-359-7888
Provider Business Practice Location Address Fax Number:
210-359-7333
Provider Enumeration Date:
02/22/2006