Provider First Line Business Practice Location Address:
4500 S. LANCASTER RD.
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75216-7521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-857-0185
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2007