Provider First Line Business Practice Location Address:
UTSW 5323 HARRY HINES BLVD MC 9227
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-2717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-962-1319
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2014