Provider First Line Business Practice Location Address:
UNIV TEXAS MED SCHL - DEPT OF SURGERY
Provider Second Line Business Practice Location Address:
6431 FANNIN ( MSB 6.246 )
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-1501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-500-7374
Provider Business Practice Location Address Fax Number:
713-500-0784
Provider Enumeration Date:
05/31/2007