Provider First Line Business Practice Location Address:
5323 HARRY HINES BLVD.,
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY, STE CS 3.114
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-9073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-648-8444
Provider Business Practice Location Address Fax Number:
214-648-8037
Provider Enumeration Date:
09/12/2011