Provider First Line Business Practice Location Address:
1313 RED RIVER ST., STE A1
Provider Second Line Business Practice Location Address:
UMC AT BRACKENRIDGE UTSW AUSTIN OBGYN
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-324-7036
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2014