Provider First Line Business Practice Location Address:
7 MEDICAL PKWY
Provider Second Line Business Practice Location Address:
DALLAS MEDICAL CENTER
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75234-7829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-888-7264
Provider Business Practice Location Address Fax Number:
972-941-6666
Provider Enumeration Date:
04/06/2006