Provider First Line Business Practice Location Address:
BAYLOR SCOTT & WHITE MEDICAL CENTER-TEMPLE 2401 SOUTH
Provider Second Line Business Practice Location Address:
31ST STREET MS -01-713
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:
254-724-2366
Provider Business Practice Location Address Fax Number:
254-724-4650
Provider Enumeration Date:
03/18/2024