Provider First Line Business Practice Location Address:
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Provider Second Line Business Practice Location Address:
6431 FANNIN STREET,MSB 7.119
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:
971-263-5755
Provider Business Practice Location Address Fax Number:
713-500-0638
Provider Enumeration Date:
04/02/2018