Provider First Line Business Practice Location Address:
7703 FLOYD CURL DRIVE, MSC 7903
Provider Second Line Business Practice Location Address:
UT HEALTH SCIENCE CENTER AT SAN ANTONIO, AGD CLINIC
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-567-3456
Provider Business Practice Location Address Fax Number:
210-567-3443
Provider Enumeration Date:
06/27/2013