Provider First Line Business Practice Location Address:
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Provider Second Line Business Practice Location Address:
7000 FANNIN ST, #1200
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-500-4472
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2010