Provider First Line Business Practice Location Address:
3925 FAIRMONT PARKWAY
Provider Second Line Business Practice Location Address:
PEDIATRIC & ADOLESCENT HEALTH CENTER-PASADENA
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-873-6300
Provider Business Practice Location Address Fax Number:
281-487-0196
Provider Enumeration Date:
04/25/2007