Provider First Line Business Practice Location Address:
6651 MAIN STREET
Provider Second Line Business Practice Location Address:
PEDIATRICS CRITICAL CARE
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:
832-826-6258
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/25/2006