Provider First Line Business Practice Location Address:
1935 MEDICAL DISTRIC DRIVE
Provider Second Line Business Practice Location Address:
ADVANCED PRACTICE SERVICE
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-456-7000
Provider Business Practice Location Address Fax Number:
214-456-2897
Provider Enumeration Date:
07/29/2005