Provider First Line Business Practice Location Address:
12221 N MO PAC EXPY
Provider Second Line Business Practice Location Address:
DEPT OF RHEUMATOLOGY
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-901-4018
Provider Business Practice Location Address Fax Number:
512-901-3918
Provider Enumeration Date:
02/21/2006