Provider First Line Business Practice Location Address:
7703 FLOYD CURL DR., MSC-6220
Provider Second Line Business Practice Location Address:
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER, PERC
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-567-8371
Provider Business Practice Location Address Fax Number:
210-567-8328
Provider Enumeration Date:
05/15/2007