Provider First Line Business Practice Location Address:
UNIV OF TEXAS SOUTHWESTERN MEDICAL CTR
Provider Second Line Business Practice Location Address:
5323 HARRY HINES BLVD.
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-648-3442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2007