Provider First Line Business Practice Location Address:
7109 B LAWNDALE
Provider Second Line Business Practice Location Address:
LAWNDALE MEDICAL CLINIC
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-924-4907
Provider Business Practice Location Address Fax Number:
713-924-4182
Provider Enumeration Date:
09/14/2006