Provider First Line Business Practice Location Address:
BAYLOR SCOTT & WHITE HEALTHCARE 2401 SOUTH 31ST STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-935-5750
Provider Business Practice Location Address Fax Number:
254-935-5751
Provider Enumeration Date:
04/03/2023