Provider First Line Business Practice Location Address:
UNIVERSITY OF TEXAS AT ARLINGTON
Provider Second Line Business Practice Location Address:
211 S. COOPER
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76019-0129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-272-3681
Provider Business Practice Location Address Fax Number:
817-272-2046
Provider Enumeration Date:
11/21/2006