Provider First Line Business Practice Location Address:
SCOTT & WHITE HOSPITAL 2401 SOUTH 31 ST ST
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT. SUITE 261B
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-724-8216
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2011