Provider First Line Business Practice Location Address:
800 BELL STREET
Provider Second Line Business Practice Location Address:
SRM EMB4 061 SEA RIVER MARITIME INC MEDICAL DEPARTMENT
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77002-7497
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-656-2426
Provider Business Practice Location Address Fax Number:
713-656-1979
Provider Enumeration Date:
04/03/2007