Provider First Line Business Practice Location Address:
SCOTT AND WHITE CLINIC
Provider Second Line Business Practice Location Address:
2401 S 31ST STREET
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-724-3704
Provider Business Practice Location Address Fax Number:
254-724-6803
Provider Enumeration Date:
01/23/2006