Provider First Line Business Practice Location Address:
8000 N STADIUM DR 7TH FLOOR
Provider Second Line Business Practice Location Address:
CITY OF HOUSTON HEALTH & HUMAN SERVICES
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-794-9104
Provider Business Practice Location Address Fax Number:
713-798-0803
Provider Enumeration Date:
02/22/2007