Provider First Line Business Practice Location Address:
16789 N US HIGHWAY 281
Provider Second Line Business Practice Location Address:
YOUR ORTHO TEAM, PC
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78232-2349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-497-5665
Provider Business Practice Location Address Fax Number:
210-497-0080
Provider Enumeration Date:
10/14/2011