Provider First Line Business Practice Location Address:
VA NORTH TEXAS HEALTH CARE SYSTEM
Provider Second Line Business Practice Location Address:
4500 SOUTH LANCASTER RD
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-857-1558
Provider Business Practice Location Address Fax Number:
214-302-1433
Provider Enumeration Date:
07/28/2005