Provider First Line Business Practice Location Address:
5000 BAPTIST HEALTH DR
Provider Second Line Business Practice Location Address:
STE. 116
Provider Business Practice Location Address City Name:
SCHERTZ
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78154-1193
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-656-7177
Provider Business Practice Location Address Fax Number:
210-656-3687
Provider Enumeration Date:
03/12/2010