Provider First Line Business Practice Location Address:
1935 MEDICAL DISTRICT DR - MAIL: D10301.A
Provider Second Line Business Practice Location Address:
CHILDREN'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75235-7701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-456-4119
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2006